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Grief and Loss TAS
Grief and Loss NP1 Test 5
Question | Answer |
---|---|
Define loss. | Actual or potential situation in which something that is valued is changed or no longer available. |
What are the three categories of loss? | actual, anticipatory, perceived |
Define actual loss. | Loss that others know about and can recognize. |
Define anticipatory loss. | Actual loss that has not yet occurred. |
Define perceived loss. | Loss experienced by an individual but cannot be verified by others. |
Define grief. | Response to the emotional experience related to loss. |
Define mourning. | Outward social expression of loss. |
Define bereavement. | Response experienced after death of someone with whom a significant relationship was shared. |
Name the five types of grief. | anticipatory, normal, complicated, disenfranchised, children's |
Why is there no specific definition for "normal" grief? | grief differs from person to person, and there is no universal time frame |
What are the four types of complicated grief? | chronic, delayed, exaggerated, masked |
What is chronic grief? | A form of complicated grief where the client is solely focused on the grief for an extended period of time |
What is delayed grief? | When the client keeps going and never deals with the grief, only to have the grief triggered later |
What is masked grief? | Grief that is mostly internalized |
What is disenfranchised grief? | Grief not easily recognized by society |
Grief is caused by... | Loss |
What are the Kubler-Ross stages of grief? | denial, anger, bargaining, depression, acceptance |
What type of process is grief assessment? | ongoing |
Factors that affect the grief process... | personality, coping skills, gender belief system, culture, relationship to the deceased, type of death, concurrent stressors, support systems, death preparation |
T or F. Substance abuse and mental illness are factors that affect the grief process. | True. |
Client's showering habits, hair care and weight loss would be assessed under which variable? | Physiological |
Behavioral, emotional and coping patterns would be grouped under which variable? | Psychological |
T or F. Once a client begins the stages of grief, they never regress. | False. A client may jump around through the stages of grief. |
The three stages of the developmental variable of grief are... | children, early/middle adulthood, late adulthood |
Three aspects of the spiritual variable of grieving are... | rituals, bereavement, mourning |
Can rituals be harmful to the coping process? | Yes. If strict rituals are not adhered to, the client may be hindered in the coping process. |
Name three nursing diagnoses related to grief. | Anticipatory grieving, Dysfunctional grieving, Risk for dysfunctional grieving. |
T or F. The nursing diagnosis of Dysfunctional grieving is used most often. | False. This nursing diagnosis is not commonly used because the nurse has limited time with the client and therefore cannot determine dysfunctional grieving, only the risks for dysfunctional grieving. |
What are two aspects of the sociocultural variable of grieving? | family changes, cultural influences/rites |
What are acceptable nursing implementations for a nurse dealing with a grieving client? | accepting attitude, respect cultural practices and grief reactions, assist with rituals as needed, stay present, listen, identify support systems, refer for bereavement |
What are the two most important nursing implementations? | Stay present, Listen |
A nurse is caring for a client that is declining towards death. The family has begun exhibiting signs of grief. The nurse focuses on physical care, avoids emotionally sensitive conversations and limits contact with patient/family. What is going on? | The nurse is uncomfortable with death. |
Should the nurse grieve? | Yes, the nurse may become aware of own mortality or experiences cumulative loss but must maintain professionalism. |