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55 Cards in this Set

  • Front
  • Back
Anticipatory grief
the process of disengaging on "letting go" that occurs before an actual loss/death has occurred
maturational loss
includes any change in the devolopmental process that is normally expected druing a lifetime
situational loss
includes any sudden, upredictable external event
includes grief and mourning---the inner feelings and outward reactions of the survivor
the emotional response to a loss
What is Kubler-Ross's five stages of dying?
What is Bowlby's four phases of mourning?
What is Worden's four tasks of mourning?
-Accepting the reality of loss
-Working through the pain of grief
-Adjusting to the environment w/out the deceased
-Emotionally relocating the deceased & moving on w/life
What are the symptoms of normal grief?
-physical sensations
-congnitions (thought patterns)
What are examples of feelings (symptoms of normal grief)?
sadness, anger, guilt or self-reproach, anxitey, loneliness, helplessness, fatigue, shock/numbness (lack of feeling), yearning, emancipation/relief
What are examples of physical sensations (symptoms of normal grief)?
hollowness int he stomach, tightness int he chest, tightness int eh throat, oversensitivity to noies, sense of depresonalization ("nothing seems real"), feeling short of breath, muscle weakness, lack of energy, dry mouth
What are examples of cognitions-thought patterns- (symptoms of normal grief)?
disbelief, confusion, preoocupation about the deceased, sense of the presence of the deceased, hallucinations, hoplessness (I'll never be OK again")
What are examples of behaviors (symptoms of normal grief)?
sleep disturbance, appetite disturbances, absentiminded behavior, dreams of the deceased, sighing, crying, carrying objects that belonged to the deceased
Affective dimension
show empathic understanding of the client's strengths. reinforce expression of courage, positive thinking, and realisitic goal setting. encourage expression of both positive and negative feelings
Cognitive dimension
offer information about the illness and correct any misunderstanding or misinformation. clarify or modify the client's perceptions
Behavioral dimension
assist the client in using personal resources and making use of external supports to balance need for independence with healthy interdependence and dependence
Affiliative dimension
encourage clients to foster suportive relationships with others
temperoral dimension
focus on short-term goals as life expectancy diminishes
contextual dimension
encourage development of achievable goals. reminisce about achievements or positive moments in time so client can derive menaing from suffering
palliative care
the prevention, relief, reduction, or soothing of symptoms of disease or disorders w/out effecting a cure
hospice care
an alternative care delivery model for the terminally ill
when caring for clients who have experienced a loss, what should the nurse do?
facillitate the grief process by assisting survivors in feeling the loss, expressing the loss, and moving through the tasks of the grief process
loss comes in many forms based on?
the values and priorities learned w/in a person's sphere of influence, including family, friends, society, and culture.
The type of loss and the perception of the loss influence:
the degree of grief a person experiences
Death is difficult for?
the dying person, as well as for the person's family, friends and caregivers
Survivors go through a bereavement period that is not linear; rather:
an individual will move back and forth through a series of stages and/or tasks many times, possibley extending over a period of several years.
a nurse's knowledge of the types of grief allows for:
the implementation of appropriate bereavement interventions
the was an individual perceives & responds to loss is influenced by:
one's development, psychosocial perspectives, socioeconomic status, personal relaiotnships, nature of loss, culture and spiritual beliefs.
nursing interventions involve :
reinforcement of clients' successful coping mechanisms and introduciton of new comping approaches such as the promotion of hope.
When assessing clients in grief, the nurse:
does not assume how or if clients experience grief or that a particular behavior indicates grief; rather the nurse allow clients to share what is happening in their own way.
A nurse must assess the terminally ill client's and family's wishes for end-of-life care, including:
the preferred place for death, the level of life-sustaining measure to employ and expectations regarding pain dn symptom management
The nurse develops a plan of care by:
integrating clients' resources such as physical energy and activity tolerance, supportive family members, spirtitual faith, and methods for coping.
The nurse establishes a caring presence and:
employs therapeutic communication stragegies that enable clients to discuss their loss and find ways to resolve it.
Palliative care:
allows clients to make more informed choices, achieve better alleviation of syptoms, and hve more opportunity to work on issues of life closure.
A nurse can promote a client's self-esteem and dignity by:
taking a therapeutic stance that conveys respetct for the client as a whole person
Hospice is not a facility but:
a concept for family-centered care designed to assist the client in being comfortable and maintaining a satisfactory lifestyle until death.
A child is grieving over the loss of a favorite toy. this is an example of:
actual loss
a middle-age man comes to a community clinic for his annual flu examination. in the discussiion w/the nurse she learns that he still works at a local law firm. however, he has recently lost two important cases & his boss has been applying pressure on him "to turn it around." the client may be experiencing:
perceived loss
the community health nurse's job is to provide a grief counseling for the community residents where a major flood has occurred. the loss associated with flooding is best described as:
situational loss
the client has been diagnoses w/terminal brain cancer. when the nurse visits him during rounds, he asks her whether the cancer could ahve been caused by something he ate or perhaps exposure to smoe chemical toxin. the client is likely experiencing:
Bowlby's phase of disorganization and despair
according to Kubler-Ross's stages of dying, during this phase, the client may feel overwhelmingly lonely and withdraw from interpersonal interaction.
Kubler-Ross's stage of depression
Since the death of his wife, the client has assumed full responsibiltiy for the care of his children. He has noticed over the last few eeks that friends calling less often. he is most likely in the following phase of mourning:
Worden's task III of mourning
a factor that uniquely influences an older adult's grief response is:
sense of contributions in life
"Client will be able to discuss expected course of disease" is an example of a:
A 16 yo client has been admitted to the ICU after suffering a closed head injury. the physician & nurse are preparing to approach the faimily to consider donation of the heart & lungs. when working w/families in this situation, it is important to explain that:
the ventilator and other life support equipment maintains oxygen and organ perfusion until the organs can be removed.
this type of care allows clients to make more informed choices, achieve better alleviation of symptoms, and have more opportunity to work on issues of life closure:
palliative care
Which statement about loss is accurate?
1. loss is only experienced when there is an actual absence of something valued.
2. the more an individual has invested in what is lost, the less the feeling of loss.
3. loss may be maturational, situational, or both.
4. the degree of stress experienced is unrelated to the type of loss.
3-loss may be maturational, situational, or both
The developmental stage at which the child is first able to understand logical explanations about death is:
school age
a hospice program emphasizes:
1. curative treatment and alleviation of symptoms.
2. palliative treatment and control of symptoms
3. hospital-based care
4. prolongation of life
palliative treatment and control of symptoms
Trying questionable and experimental forms of therapy is a behavior that is caracteristic of which stage of dying?
1. anger
2. depression
3. bargaining
4. acceptance
All of the following are crucial needs of the dying client except:
1. control of pain
2. preservation of dignity and self-worth
3. love and belonging
4. freedom from decision making
freedom from decision making
Doug Brown is a 70yom who comes to the neighborhood health clininc. after an eye examination, his physician explains that he has senile cataracts, which explains his progressive visula loss. Mr Brown's situation could be described as a:
Maturational loss
A client who exhibits terminal reslessness can best be assessed by:
reviewing laboratory values
When preparing a body after death, you should not close the eyes of a client who practices which of the folloing religions:
A priority in palliative care is symptom management. A principle to follow in symptom management is:
recognize that the dying client's symptoms are very real