Study your flashcards anywhere!

Download the official Cram app for free >

  • Shuffle
    Toggle On
    Toggle Off
  • Alphabetize
    Toggle On
    Toggle Off
  • Front First
    Toggle On
    Toggle Off
  • Both Sides
    Toggle On
    Toggle Off
  • Read
    Toggle On
    Toggle Off
Reading...
Front

How to study your flashcards.

Right/Left arrow keys: Navigate between flashcards.right arrow keyleft arrow key

Up/Down arrow keys: Flip the card between the front and back.down keyup key

H key: Show hint (3rd side).h key

A key: Read text to speech.a key

image

Play button

image

Play button

image

Progress

1/44

Click to flip

44 Cards in this Set

  • Front
  • Back
Grief experienced in advance of the event is?
Anticipatory Grief
A subjective response of a person whohas experienced the loss of a significant other through death is called?
Bereavement
The state in which an individual or group experiences prolonged or unresolved grief & engages in detrimental activities is called?




still birth &/or fetal demise
Dysfunctional Grief
Emotional suffering often caused by bereavement?



80%
Grief
An actual or potential situation in which a valuaed ability, object, or person is inaccessible or changed so that it is perceived as no longer valuable is ?
Loss
The process through which grief is eventually resolved or altered?
Mourning
Identifying ______of fetal loss assists many families in progressing through the grieving process.



identifying the causitive factor
identifying the causitive factor
An individuals total response to a loss, including physical symptoms, thoughts, feelings, fuctional limitations, & spiritual reactions is called?

a. grief
grief
Behaviors such as weeping or visiting a gravesite is known as?



mourning
Behaviors such as weeping or visiting a gravesite is known as?
A period of adjustment when individuals mourn and grieve over loss is known as?

a. bereavement
bereavement
The five stages of grieving are?

a. denial, anger, bargaining, depression, acceptance
denial, anger, bargaining, depression, acceptance
Once fetal demise is established it is important to first ...?
assess the family members ability to adapt to their loss
Assessing the family members ability to cope with fetal demise is:

open communication between mother, partner & healthcare team members

discussion of prior experiences with loss & coping abilities at that time

identifying family's social supports & resources
Assessing the family members ability to cope with fetal demise is:
When death has been determined, who informs the family?

a. Physician

b. RN

c. CNM

d. Chaplain
physician &/or CNM
Nursing diagnosis that may apply in the event of fetal demise &/or infant death may include:

ANTICIPATORY GRIEVING RT immenent loss of a child

POWERLESSNESS RT lack of control in current situational crisis

INEFFECTIVE DENIAL RT the unexpected death of the fetus

COMPROMISED FAMILY COPING RT the death of a child/unresolved feelings regarding perinatal loss

INTERRUPTED FAMILY PROCESSESS RT fetal demise

HOPLESSNESS RT sudden, unexpected fetal loss

RISK FOR SPIRITUAL DISTRESS RT intense suffering secondary to unexpected fetal loss
ANTICIPATORY GRIEVING RT immenent loss of a child

POWERLESSNESS RT lack of control in current situational crisis

INEFFECTIVE DENIAL RT the unexpected death of the fetus

COMPROMISED FAMILY COPING RT the death of a child/unresolved feelings regarding perinatal loss

INTERRUPTED FAMILY PROCESSESS RT fetal demise

HOPLESSNESS RT sudden, unexpected fetal loss

RISK FOR SPIRITUAL DISTRESS RT intense suffering secondary to unexpected fetal loss
When fetal death has occurred before admission, the entire staff on the unit is informed so they can?



avoid making inappropriate remarks
When fetal death has occurred before admission, the entire staff on the unit is informed so they can?
Upon arrival to the facility, the couple with a known or suspected fetal demise should?

immediately be placed in a private room
Upon arrival to the facility, the couple with a known or suspected fetal demise should?
When possible, a woman with a known or suspected fetal demise should be placed in a room that is ?

a. farthest away from other laboring women
farthest away from other laboring women
When a couple arrives to a facility who have a known or suspected fetal demise, take care to?

not leave them in a waiting room with expecting parents or visitors waiting for news from other women in labor
When a couple arrives to a facility who have a known or suspected fetal demise, take care to?
It is important to allow a couple facing known or suspected fetal demise to remain together, provide privacy, & maintain a supportive environment and?

give complete information about what to expect & what will happen
give complete information about what to expect & what will happen
When a couple is facing a known or suspected fetal demise, it is important that the RN?

Stay with the couple so they do not feel alone & isolated
& continuously assess cues that they want to be alone

Provide for the couple so a therapeutic relationship can be established

Provide solace by listening to the couple without offering explanations

Provide ongoing opportunities for the couple to ask questions
When a couple is facing a known or suspected fetal demise, it is important that the RN?
When couples are facing fetal demise & are asking questions, the RN should?

Provide clear explanations & straightforward answers

Arrange for other multidisciplinary team members interact with the family

Arrange for an initial interaction with a grief councelor

Offer to contact the hospital chaplain or another cleric for them

Coordinate members of the multidisciplinary team so a comprehensive plan of care can be initiated
When couples are facing fetal demise & are asking questions, the RN should?
In the event of fetal demise the RN should?

Explain the plan of care & allow the family to ask questions

Allow family to make decisions for their labor & birth preferences

Review availability of anesthesia & analgesia

Facilitate the participation of the woman & her partner in the labor & birth process
Explain the plan of care & allow the family to ask questions

Allow family to make decisions for their labor & birth preferences

Review availability of anesthesia & analgesia

Facilitate the participation of the woman & her partner in the labor & birth process
In the event of fetal demise, it is imperative that?

The couple & family have all wishes & preferences respected
The couple & family have all wishes & preferences respected
In the event of fetal demise, the RN may assist the couple in making decisions about who is present & what rituals will occur during & following birth such as?

music, lighting & other environmental preferences

laboring or birthing in a specific position

having the infant placed on the mothers chest immediately after birth

allowing the father to cut the umbilical cord

presence of other family members or friends at birth
In the event of fetal demise, the RN may assist the couple in making decisions about who is present & what rituals will occur during & following birth such as?
Advocates of seeing the stillborn infant believe that viewing assists in?

dispelling denial

enables the couple to progress to the next step in the grieving process
Advocates of seeing the stillborn infant believe that viewing assists in?
If couple chooses to see their stillborn infant, prepare them for what they will see by saying?

Examples:

"she is going to feel cold"

"he is going to be blue"

"her face is bruised"
If couple chooses to see their stillborn infant, prepare them for what they will see by saying?
A common practice when presenting the stillborn infant to parents is to?

wrap the infant in a blanket

apply a hat to cover birth defects

this allows time for parents to adjust to the appearance at their own pace
A common practice when presenting the stillborn infant to parents is to?
In the even of fetal demise, discharge should include?

Information on the grief process

Prepare couple by stressing that others may not know what to say

Stress that even loved ones may make inappropriate comments
In the even of fetal demise, discharge should include?
It is important to have collegues & family members available for counceling & support for the RN caring for a couple in the event of fetal demise because?

the nurse experiences many of the same grief reactions as the parents of a stillborn infant
It is important to have collegues & family members available for counceling & support for the RN caring for a couple in the event of fetal demise because?
In old age, the individual experiences many losses such as changes in physical & mental capabilities. How does a loss of an aspect of oneself affect the elderly?

a The older persons self image is vulnerable

b. It is anticipated so the older person's self image is not affected.

c. The older person's self image can be improved by anticipating these changes.

d. Personality is stable in old age so that the self-image does not change.
The older persons self image is vulnerable
A client whose child died in a MVA states " I know I should grieve but I just don't have the time. My other children need me & I can't be crying." The nurse's most therapeutic response is:

a. You are right, you should be grieving. Why don't you take some sick time & see a counselor? It would help you & your children.

b. What you are doing is good for the children but not for you, You have to take time to grieve or else you can get sick.

c. It must be hard on you & your children. Sounds like you are trying very hard to hide your grief, however, working through your grief is important for you to remain healthy.

d. Working through your grief is important for you to be healthy. Your other children need you to be healthy as well. You need to look at the affects on you & your children. It might be useful to see a grief counselor.
It must be hard on you & your children. Sounds like you are trying very hard to hide your grief, however, working through your grief is important for you to remain healthy.
Which of the following exemplify contributory factors of unresolved grief after a death?

a. an individual grieved in advance of an amputation of a limb.

b. An individual survives after a fire killed all of the family members.

c. Family members have multiple rituals to follow after a death.

d. Cultural beliefs allow the emothional expression of grief.
An individual survives after a fire killed all of the family members.
Which of the following characterizes the beliefs & attitudes about death of an adolescent?

a. Associates death with violence & aggression

b. Begins to understand own mortality expressed as fear or death

c. May fantasize that death can be defied & acting out through reckless behaviors.

d. Experiences peaks of death anxiety.
May fantasize that death can be defied & acting out through reckless behaviors.
The spouse of a client has persistently refused to believe that the illness is terminal & that nothing can be done to prevent death. In what way can the nurse be helpful to the client's spouse?

a. Examine own behavior to ensure not sharing the denial

b. Let the spouse deny the terminal illness so that the client will not feel abandoned

c. Offer spiritual support

d. Encourage spouse to socialize with others who have been in the same situation
Examine own behavior to ensure not sharing the denial
In assessing a client who will be undergoing a lung resection, the nurse understands the significance of losing a body part. Which of the following questions is most appropriate to ask during the assessment?

a. What changes do you think theis surgery will cause in your life?

b. What are you going to do after the surgery?

c. Is there anything I can do to help?

d. Have you ever suffered any losses in the past?
What changes do you think this surgery will cause in your life?
A client thinks that death can be prevented by going to the faith healer in a foreign land but believes it might be too late & too expensive. What is the most appropriate nursing diagnosis for this client?

a. Powerlessness

b. Hoplessness

c. Fear

d. Dysfunctional Grieving
Powerlessness
The client, family, & health care personel know that the prognosis is terminal & are in mutual pretense. What effect does this have on the dying person?

a. It permits some degree of privacy but also becomes a burden as there is no one in whom to confide

b. The impact is not felt as there is no open discussion

c. The dying person is able to acknowledge any feelings regarding death


d. The dying person feels comfortable in the pretense
It permits some degree of privacy but also becomes a burden as there is no one in whom to confide
What is a therapeutic strategy to communicate with a client who is dying?

a. Encourage client to be as silent as possible to save energy

b. Stay with client & talk about pleasant events

c. Acknowledge the clients discomfort or struggle

d. Offer reassurance & sympathy
Acknowledge the clients discomfort or struggle
What is the best route for administering pain medication to a dying patient?

a. Intravenous infusion

b. Oral

c. Subcutaneous

d. Intramuscular
Intravenous infusion
Associating death with violence & aggression is characteristic of?

a. 3-7 years of age

b. 5-9 years of age

c. 9-12 years of age

d. 12-15 years of age
5-9 years of age
Beginning to understand ones own mortality expressed as a fear of death is characteristic of?

a. 3-7 years of age

b. 5-9 years of age

c. 9-12 years of age

d. 12-15 years of age
9-12 years of age
Fantasizing that death can be defied & acting out through reckless behaviors is characteristic of?

a. preschoolers

b. adolescents

c. Young adults

d. Middle aged adults
adolescents
Experiencing peaks of death anxiety is characteristic of?

a. adolescents

b. Young adults

c. Middle aged adults

d. Older adults
Middle aged adults