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28 Cards in this Set
- Front
- Back
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Name the types of losses?
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anticipatory grief:"letting go:
actual loss maturational loss:"aging" situaltional loss:"Divorce" dysfunctional grief death |
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public display of grief?
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mourning
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the act of grieving?
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bereavement
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allows a person to live with loss but can't forget, allows person to work through stages of grief?
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grief work
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the end result of grief is ?
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letting go
acceptance |
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stages of the normal grieving process?
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stage 1: period of shock
stage 2: reality stage 3: recovery |
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engles stages of grief?
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SHOCK & DISBELIEF
difficulty accepting -fight or flight response DEVELOPING AWARENESS: anger,guilt,depression,crying REORGANIZATION & RESTITUTION choose different people |
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Name the kubler-ross stages of death and dying?
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DENIAL
ANGER BARGAINING DEPRESSION ACCEPTANCE |
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tends to create dysfunction in persons roles
may begin in child hood not assoc with any one loss all pervasive: focus of the persons life |
chronic grief
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occurs after a loss
bereaved does not show signs of grieving appears strong in charge of funeral arrangements takes care of others grieving inappropriate to show feelngs a young child unaware of death |
delayed grief
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occurs after many losses not grieved for
assoc with loss of functioning x 6mts culturally influenced multiple losses all at once |
exaggerated grief
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develops physical and mental illness post loss?
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masked grief
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Name factors for dysfunctional grieving?
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-sudden loss
-ambivalence toward loss -unresolved emotional conflicts with lost rltnshp -hx of maladaptive cope behav -multiple losses -disenfranchised:loss cannot be publicly shared -mental illness |
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risk factors for depression?
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-fm hx & prior depression
-recent neg stressors & losses -childhood abuse,neglect,loss of parent -lack of social support -mental d/o -woman -not working outside of home -substance abuse/dependency |
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CAuses of depression?
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bilogical: low 5HT &NE
sociocultural:learned helplessness cognitive:impaired psychoanalytical: anger turned inward,object loss theory |
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what does the 5HT transporter gene contain?
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alleles: short (s):prone to depression: cause:low 5HT
long (l) |
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Name types of depression non DSMIV :
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grief
abnormal/dysfunctional grief postpartum primary & secondary endogenous/exogenous |
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describe features of endogenous?
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-EMA
-anhedonia -vegetative cluster -diurnal variation -wt loss -psychomotor changes |
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describe features of exogenous?
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-DFS
-some anhedonia,vegatative,diurnal variation -wt loss or gain(NOT GREAT) -NO PSYCHOMOTOR CHANGES |
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tx for depression?
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-psychotherapy: insight vs supportive
-grief counseling,marital -group therapy -cognitive therapy -physical therapy:stimulates endorphnes -ECT:resets brain -light therapy:keep eye open -medications:antidepressants |
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When a pt has a depression or a significant loss, the nurse best 1st action is to?
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-do suicide evaluation
-ask directly about self harm |
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signs to look for if client is suicidal?
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-psychomotor changes
-vegatative sign -pt keeps rumanating:constant neg.thoughts -self care deficits -dysthmic - |
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symptoms of SIGECAPS for at least 2 weeks?
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major depression
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symptoms of SIGECAPS most of the days for 2 years
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dysthmic
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2 sets of symptoms in the same illness (schizophrenia and mood d/o)?
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schizoaffective
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hx of manic and hypomanic episodes. current feature depression. Mixed sx x 1 yr. rapid cyclers 4 episodes/year
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bipolar(depressed)
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depressed in the winter months. Natural light influences sleep/activity?
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seasonal affective d/o
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70% of females experience "blues" 10 days after giving birth due to sleep deprivation/hormonal changes. S&S: pre-occupation with infants welfare, agitation/lack of sleep.possible H&Ds
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post-partum depression
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