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Grief and Loss TAS

Grief and Loss NP1 Test 5

QuestionAnswer
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.
Created by: tiffiny090180
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