Test 4- Death, Loss, And Grief

Front 1

____ is the total response to the emotional response related to loss (may be a loss other than death).

Back 1

Grief

Front 2

_____ is the subjective response experienced by the surviving loved ones.

Back 2

Bereavement

Front 3

The person experiencing bereavement may often neglect...

Back 3

their own health

Front 4

_____ is the behavioral process through which grief is eventually resolved or altered.

Back 4

Mourning

Front 5

When a person is in mourning the have processed the ____ and experienced the ____. They now are returning...

Back 5

loss
grief
to their normal way of living

Front 6

Some examples of normal grief responses are:

Back 6

crying, sleep disturbances, anger and decreased appetite and concentration

Front 7

A normal grief response experienced before the actual loss occurs is called ______.

Back 7

anticipatory

Front 8

A normal grief response that is brief or short-term is called ______.

Back 8

abbreviated

Front 9

A _____ grief response occurs when a loss is experienced and cannot be openly acknowledged.

Back 9

disenfranchised

Front 10

Unhealthy grief in which a person can't get past and grieves for a long period of time is called _____.

Back 10

complicated

Front 11

Disenfranchised grief may be ______. It is extended in length and severity. The person may have difficulty expressing grief and may even deny there has been a loss.

Back 11

unresolved/chronic

Front 12

A _____ grief response is a normal response that can occur with suppression of grief. Active grieving is held back and surfaces later.

Back 12

Delayed

Front 13

Sometime a person may take on some of the same symptoms as the person who passed away. They may have an intense feeling of loss. They are experiencing _____ grief.

Back 13

exaggerated

Front 14

Kubler-Ross' 5 Stages of grieving are:

Back 14

-Denial
-Anger
-Bargaining
-Depression
-Acceptance

Front 15

During ____ the person acts as if nothing has happened or refuses to believe or understand that a loss has or will occur.

Back 15

denial

Front 16

During the ____ stage of grieving the person expresses rage and hostility. The client may strike out at others "Why is this happening to me?"

Back 16

anger

Front 17

During the ____ stage of grieving the patient knows the loss is coming but tries to postpone reality by making a deal.

Back 17

bargaining

Front 18

During the ____ stage of grieving the person finally realizes the full impact and significance of the loss. They may feel overwhelmingly lonely and withdraw from interpersonal interactions.

Back 18

depression

Front 19

During the ____ stage of grieving the person comes to terms with the loss and begins to look to the future.

Back 19

acceptance

Front 20

The depression stage of grieving is also called ______.

Back 20

preparatory grieving

Front 21

Factors that influence responses to loss and grief are:

Back 21

-age
-significance of loss
-culture/spiritual beliefs
-gender
-socioeconomic status
-support system
-cause of loss or death
-end of life decisions

Front 22

_____ is strongly related to our attitudes toward life sustaining illness treatments.

Back 22

Ethnicity

Front 23

Death is present when a person has sustained either irreversible cessation of ____ and ____ functions or irreversible cessation of all functions of the _____.

Back 23

circulatory and respiratory functions

entire brain

Front 24

Nurses don't pronounce a patient but they do...

Back 24

document the assessment- no vital signs.

Front 25

2 advance directives are the _____ and _____.

Back 25

living will and health care power of attorney

Front 26

The _____ is a document that states what you want to happen if you can't speak for yourself. It describes what life-sustaining measures will be taken.

Back 26

living will

Front 27

The person you appoint to carry out the living will is the ______.

Back 27

health care power of attorney

Front 28

A DNR order is a _____ order.

Back 28

physician

Front 29

With comfort measures, the goal of treatment is a ____, ____ death. There are no indicated life sustaining measures.

Back 29

comfortable, dignified

Front 30

______ is withholding or withdrawing of medically ineffective or disproportionately burdonesome therapies.

Back 30

Passive euthanasia

Front 31

Passive euthanasia allows the disease process to

Back 31

progress naturally until the patient dies.

Front 32

______ is the act of making a means of suicide available to the patient with knowledge of his/her intention. It is illegal.

Back 32

Assisted suicide

Front 33

_______ is when someone other than the patient commits an action with the intent to end the patient's life. It is illegal

Back 33

Active euthanasia

Front 34

Signs and symptoms at the end of life include:

Back 34

-loss of muscle tone
-slowing of the circulation
-changes in respirations
-sensory impairment

Front 35

Things the nurse should assess and address to promote end of life comfort are:

Back 35

-discomfort
-fatigue
-nausea
-constipation
-diarrhea
-incontinence
-inadequate nutrition
-dehydration
-ineffective breathing patterns

Front 36

Law states that an autopsy must be performed when death is ____ or _____. However, some religions oppose this.

Back 36

sudden
within 48 hours of hospital admission

Front 37

When the client is unaware of impending death and the family may not understand why the client is sick and may actually think they are going to get better it is called _____ awareness.

Back 37

closed

Front 38

_____ is when the client, family, and healthcare providers know the prognosis is terminal but no one discusses it.

Back 38

Mutual pretense

Front 39

_____ is when the client and people surrounding him/her know about the death and they are comfortable talking about it.

Back 39

Open awareness

Front 40

The most healthy form of knowledge and acceptance is ______.

Back 40

open awareness

Front 41

When there is ____ awareness, the client is comforted by "people" in the room. They may talk to "people" who are not even there.

Back 41

Nearing death awareness

Front 42

Post-mortem care includes:

Back 42

-wash soiled areas of the body
-place clean gown on client
-place client in lying position
-allow family time with deceased client
-follow policy for wrapping body and applying identification

Front 43

_____ must be left in place if an autopsy is to be performed.

Back 43

Tubes