BN Ch.14 The End of Life: Death, Dying, Grief, and Loss Flashcards
The process of dying has been compared to the process of __________.
Labor
__________ illness is a state in which an individual faces a medical condition that will end in death within a limited period.
Terminal
A benefit of normal __________ is being able to gradually adjust to the inevitability of death.
aging
___________ is the final stage of growth and development.
Death
__________ human needs are a priority for the dying person.
Basic
__________ often forces people to consider the meaning of life, the existence of the soul, and the possibility of an afterlife,
Death
During the __________ stage of depression, the individual concentrates on past losses.
Verbal
The final stage of dying is __________
detachment
Stage in which an individual gradually separates from the world
Detachment
Stage in which an individual concentrates on past losses
Reactive depression
State in which an individual faces a medical condition that will end in death within a limited period
Terminal illness
Write the correct sequence of the stages of dying described by Kübler-Ross.
- Anger
- Depression
- Detachment
- Denial
- Bargaining
- Acceptance
- Denial
- Anger
- Bargaining
- Depression
- Acceptance
- Detachment
How do culture, ethnicity, and religion influence people’s attitudes toward death?
- Death is a social event with great meaning for the society in some cultures; in others, death is considered a private, hidden occurrence.
- Some cultures celebrate the death of a person, believing that the person is in a better place.
- Some cultures grieve openly, and for others grief is an intense personal experience.
- Some mourn for extended periods.
- Some religions have specific laws regarding death and ceremonies for commemorating the dead person’s passage from life.
How can the nurse honor the process of dying?
- The nurse honors the process of dying by helping the client with basic human needs.
- The dying individual appreciates the care provided even if he or she cannot communicate with the nurse verbally.
- The nurse gives the client and the family interaction, attention, and concern
Why is the concept of death not acceptable to many people?
- Most people develop a fear of dying because what comes after death is unknown.
- Western medicine and beliefs are based on preserving life, and admitting that a person cannot be cured or revived is often difficult.
- People can imagine others dying but often have trouble imagining their own death.
- Resolving feelings about the reality of death is a continuing challenge for many individuals.
A young client with a terminal illness expresses anger when their family visits. The client’s response has the family upset and disturbed.
a. Which stage of dying is the client passing through?
- The client is passing through the anger and rage stage of dying.
- At this stage, the client envies healthy young people and lashes out at family members or healthcare personnel.
A young client with a terminal illness expresses anger when their family visits. The client’s response has the family upset and disturbed.
How should the nurse care for the client and the family?
- The nurse understands and explains to the family that the client is behaving naturally.
- The client is not angry at the nurse or the relatives, but expressing his helplessness in the situation
A nurse is caring for a dying client who belongs to an organized religious group.
a. How can the nurse help the client to draw strength from their religious faith?
- The nurse could arrange for people from the client’s religious group to pray with the client so that the client is able to draw strength from God and prayer
A nurse is caring for a dying client who belongs to an organized religious group.
Why is spirituality important for individuals faced with death?
- People who are dying need the support of family and friends and, most of all, a spiritual foundation that they can rely on.
- Spirituality helps them to find answers to their queries regarding the meaning of life, the existence of the soul, and the possibility of afterlife.
The family of a young client diagnosed with a terminal illness expresses doubts regarding the medical reports and wants to consult other doctors to get additional opinions.
a. What does this reaction of the family imply?
- It is normal for the family to react in this manner.
- The family is denying the diagnosis and wants to check for accuracy.
- The family is trying to fight their own fears of losing a family member.
- The client and the family both pass through the stages of death.
- The family is going through the denial and isolation.
A nurse is caring for a dying client who does not belong to any organized religious group.
The client is dejected and says that life seems meaningless and all the achievements in life useless at this point.
a. How can the nurse help the client cope with the situation?
- The nurse understands that the client is moving towards spirituality and seeking answers to questions about the purpose of life.
- Because the client does not belong to any particular religious group, the nurse should ask the client’s family and friends to actively participate in the nursing care.
- This will help the client to draw strength from the caring relationships that have been built up in his or her lifetime.