Chapter 30, 31, 32, 33

Question 1

Stages of grief

Answer 1

1. Denial
2. anger
3. bargaining
4. depression
5. acceptance

Question 2

Denial

Answer 2

1. Shielding from overwhelming emotion
2. Usually brief, disbelief/shock
3. Buffer after receiving shocking news and it allows the person to regroup
4. Result can be: “doctor shopping” in hopes that their diagnoses will be a mistake
5. Ex: “No this can’t be true. That’s impossible.”

Question 3

Anger

Answer 3

1. Toward health care system God, even the deceased

2. “Why me? Why not someone else?”

Question 4

Bargaining

Answer 4

1. Attempt to regain control because the person feels vulnerable/helpless
2. “If only I had gone to the doctor sooner OR I’ll stop smoking if I can make it to Joey’s graduation”

Question 5

Depression

Answer 5

1. Guilty because of the strain they’re placing on their family
2. Deep sadness for things they will miss out on
3. Preparatory vs reactive

Question 6

Acceptance

Answer 6

1. Calm, if somewhat withdrawn, response

2. Solitude/less talkative

Question 7

Ageism

Answer 7

1. Bias against older people based on advanced age

2. differs from other forms of discrimination in that it cuts across gender, race, religion, and socioeconomic status

Question 8

Anosognosia

Answer 8

Inability to recognize one’s illness due to the illness itself

Question 9

Correctional nursing

Answer 9

1. Care of incarcerated patients
2. Focused on treating mental illness
3. Work to facilitate ongoing care for people living with chronic mental illness including advocating for alternatives to incarceration

Question 10

Roles of a correctional nurse

Answer 10

Roles include completing comprehensive mental state examinations and implementing psychiatric care plans and addressing alcohol and or substance use

Question 11

Psychiatric forensic nursing

Answer 11

Combines the skills of medical and psychiatric nursing with an understanding of the criminal justice system

Question 12

Roles of psychiatric forensic nursing

Answer 12

1. Evidence collection which helps determine the degree of the crime
2. Role is to provide assessment data that can help make final diagnosis within the multidisciplinary forensic team
3. May function as a psychotherapist, forensic nurse examiner, competency evaluator, fact or expert witness, consultant to law enforcement agencies or criminal justice system, hostage negotiator, or criminal profiler

Question 13

Ageism and public policy

Answer 13

It’s hard to find financial and political support for programs that are geared toward older adults

Question 14

Ageism and research

Answer 14

older adults typically are excluded from clinical trials for medication due to polypharmacy or having a chronic illness