Question 1

occurs when a valued person, object, or situation is changed or becomes inaccessible such that its value is diminished or removed

Accepted Answer

loss

Question 2

can be recognized by others as well as by the person sustaining the loss, for example loss of a limb, a child, a valued object such as money and a job

Accepted Answer

actual loss

Question 3

the loss of youth, financial independence, and a valued environment, is experienced by the person but is intangible to others

Accepted Answer

perceived loss

Question 4

occurs when a person displays loss and grief behaviors for a loss that has yet to take place, such as in families of patients witha serious or life threatening illness

Accepted Answer

anticipatory loss

Question 5

an internal emotional reaction to loss, occurs with loss caused by separation or by death, normal expressions of ____ may be physical, emotional, or spiritual

Accepted Answer

grief

Question 6

the actions and expressions of that grief, including the symbols and ceremonies (funeral) that make up the outward expressions of grief

Accepted Answer

mourning

Question 7

in a state of grieving from loss of a loved one

Accepted Answer

bereaved

Question 8

abnormal or distorted, may be either unresolved or inhibited, in unresolved a person may have trouble expressing feelings of loss or may deny them, in unresolved grief thre is a state of bereavement that extends over a lengthy period

Accepted Answer

dysfunctional grief

Question 9

a person who has sustained either 1) irreversible cessation of all functions of circulatory and respiratory functions or 2) irreversible cessation fo all functions of the entire brain, including the brainstem is ____

Accepted Answer

death

Question 10

an illness in which death is expected within a limited period of time,

Accepted Answer

terminal illness

Question 11

is care provided for people with limited life expectancy often in the home, focuses on the needs of the dying patient

Accepted Answer

hospice

Question 12

written directive that allows people to state in advance what their choices for health care would be if circumstances should develop

Accepted Answer

advance directive

Question 13

what are two types of advanced directive?

Accepted Answer

living wills and a durable power of attorny

Question 14

medical order indicating a patient\'s wishes regarding treatments commonly used in medical crisis

Accepted Answer

physician order for life-sustaining treatment form

Question 15

do not resuscitate order

Accepted Answer

no attempts are to be made to resuscitate a patient who is breathing or heart stops

Question 16

comfort measures only order

Accepted Answer

indicates the goal of treatment is comfortable, dignified death and that further life sustaining measures are no longer indicated

Question 17

gradual withdrawal of mechanical ventilation from a patient with a terminal illness or an irreversible condition with a poor prognosis

Accepted Answer

terminal weaning

Question 18

mercy killing, the deliberate termination of the life of a person

Accepted Answer

euthanasia

Question 19

taking specific steps to cause a patient\'s death

Accepted Answer

active euthanasia

Question 20

withdrawing medical treatment with the intention of causing a patients death

Accepted Answer

passive euthanasia

Question 21

lowering of patient consciousness using medication for the express purpose of limiting patient awareness of suffering that is intractable and intolerable

Accepted Answer

palliative sedation

Question 22

what types of loss exist?

Accepted Answer

actual loss, perceived loss, anticipatory loss,

Question 23

what are some components of grief?

Accepted Answer

mourning, grief reactions (Kublar ross), dysfunctional grief

Question 24

5 stages of grief according to Kublar Ross

Accepted Answer

1) denial, 2) anger, 3) bargaining, 4) depression, 5) acceptance

Question 25

what are the clinical signs of impending death?

Accepted Answer

difficulty talking or swallowing, nausea, flatus, abdominal distention, urinary/bowel incontinence or constipation, loss of movement, sensation, and reflexes, decreasing body temperature with cold or clammy skin, weak, slow, irregular pulse, decreasing blood pressure, noisy, irregular, or cheyne strokes respirations, restlessness/agitation, cooling, mottling, and cyanosis of the extremeties and dependent areas,

Question 26

what happends in kublar ross\'s stage of dying denial?

Accepted Answer

this is the first stage the patient denies the reality of death and may repress what is discussed, the patient may think \"they made a mistake in my diagnosis\"

Question 27

what happends in kublar ross\'s stage of dying- anger?

Accepted Answer

the patient expresss rage and hostility and adopts a \"why me\" attitude

Question 28

what happends in kublar ross\'s stage of dying- bargaining?

Accepted Answer

the patient tries to barter for more time, \"if i can just make it to my sons graduation\" Many patients put their affairs in order, make wills, and fulfill last wishes, such as trips, visiting relatives, and so forth, it is important to meet these wishes, if possible because bargaining helps patients move to later stages of dying

Question 29

what happends in kublar ross\'s stage of dying- depression?

Accepted Answer

the patient goes through a period of grief before death, the grief is often characterized by crying and not speaking much \" I waited all these years to see my daughter get married\"

Question 30

what happends in kublar ross\'s stage of dying- acceptance?

Accepted Answer

the patient feels tranquil, the patient has accepted the reality of death and is prepared to die, the patient will think \"I have tied up all of my loose ends made the will, now I can go in peace\"

Question 31

the ANA issued position statements stating that assisting in suicide and participating in active euthanasia are in violation of the

Accepted Answer

code for nurses , the ethical traditions and goals of the profession, and its covenent with society.

Question 32

the physician order for life sustaining treatment form must be completed and signed by a health care professional and cannot be filled out by the patient, these forms are always completed in close consultation with the

Accepted Answer

patient to ensure that the patient\'s values and goals are accurately represented

Question 33

explain factors that affect loss, grief, and dying

Accepted Answer

age  family relationships  socioeconomic position  cultural and religious influences  developmental considerations  cause of death

Question 34

physiologic care of the dying patient includes what?

Accepted Answer

involves meeting physical needs such as personal hygiene, pain control, nutritional and fluid needs, movement, elimination, and respiratory care, personal hygiene includes cleanliness of the skin, hair, mouth, nose, eyes, frequent baths and linen changes may be necessary

Question 35

psychological care of the dying patient includes what?

Accepted Answer

a fear of isolation, of having to face death alone, is a primary concern of a dying patient, support the patient by indicating your presence, giving full attention, and showing that you care, encourage the presence of family members in the room and sharing of reminiscences,

Question 36

how should you address spritual needs of a dying patient?

Accepted Answer

help obtain the services of clergy or pastoral care workers as the situation indicates,

Question 37

focused assessment for those experiencing loss, grief, and dying is directed toward determining the

Accepted Answer

adequacy of the patient\'s family\'s knowledge

Question 38

assessment in the nursing process for grieving or dying patients and families includes what

Accepted Answer

it is directed toward determining the adequacy of the patient\'s and family\'s knowledge, perceptions, coping strategies, and resources

Question 39

the data the nurse collects about how a patient or the patient\'s caregivers are responding to an actual or impending loss or to impending death may support several

Accepted Answer

different nursing diagnosis

Question 40

in diagnosisng response to a loss can be used as both

Accepted Answer

problem and etiology

Question 41

in the outcome identification and planning stage of the nursing process nursing care should be directed toward acheiving goals such as

Accepted Answer

demonstrates freedom to express feelings, needs, fears, and concerns  identify and use effective coping strategies  accept need for help as appropriate and useful available resources  make health care decisions reflecting personal values and goals,   declare preferences regarding treatment options,  report sufficient relief of pain to interact meaningfully with family and to attend everyday concerns  experience a dignified and comfortable death  resolve grief after a suitable period of mourning

Question 42

in the implementation phase of the nursing process for grieving or dying patients and families,the nurse aims to

Accepted Answer

care for dying patients and their families which include facilitating coping of the dying person and family and promoting health and preventing illness of the family

Question 43

implementation for the grieving or dying patients and families includes

Accepted Answer

developing a trusting nurse-patient/family relationship  explaining the patient\'s condition and treatment  teaching self care and promoting self esteem  teaching family members to assist in care  meeting the needs of a dying patient  meeting the needs of the family  providing postmortem care

Question 44

when a patient dies what are the nurse\'s responsibilites when a patient dies?

Accepted Answer

caring for the patient\'s body  caring for the family  discarging specific legal responbilities  ensuring that the death certificate is issued and signed, labeling the body, and reviewing organ donation arragnments if any

Question 45

what is the role of the nurse when caring for the family of a dying patient?

Accepted Answer

nurses play an important role in ensuring that timely prognostic information is givent to patients and families so that they can decide hwo to spend their last days together

Chapter 42 Loss, Grief, and Dying – Flashcards

Unlock all answers in this set

Haven't found what you were looking for?

Search for samples, answers to your questions and flashcards