CONCEPT OF DEATH AND DYING

Question 1

health maintenance and health restoration, with an emphasis on maintaining maximum potential in wellness

Answer 1

FOCUS in goals of nursing

Question 2

to promote ___ through compassionate palliative care and to facilitate coping with disability and death

Answer 2

good dying

Question 3

an actual or potential situation in which something that is valued is changed, no longer available, or gone

Answer 3

loss

Question 4

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

Answer 4

loss

Question 5

can be recognized by others and can arise either in response to or in anticipation of a situation

Answer 5

actual loss

Question 6

experienced by one person but cannot be verified by or is intangible to others

Answer 6

perceived loss

Question 7

experienced before the loss actually occurs

Answer 7

anticipatory loss

Question 8

• occurs in the process of normal development
• loss resulting from normal life transitions

Answer 8

developmental loss

Question 9

• occurs suddenly in response to specific external event
• experienced as a result of an unpredictable event

Answer 9

situational loss

Question 10

sources of loss (4)

Answer 10

• aspect of self
• external objects
• familiar environment
• loved one / valued person

Question 11

loss of body part, physiological function, psychological function

Answer 11

loss of an aspect of self

Question 12

loss of inanimate objects that have importance to the person

Answer 12

loss of external objects

Question 13

a fundamental loss both for the dying person and those who survive

Answer 13

loss of a loved one / DEATH

Question 14

• total response to the emotional experience related to the loss
• manifested in thoughts, feelings, and behaviors associated with overwhelming distress or sorrow

Answer 14

grief

Question 15

• a social process
• best shared and carried out with the assistance of others

Answer 15

grief

Question 16

• behavioral process through which grief is eventually resolved or altered
• often influenced by culture, spiritual beliefs, and custom

Answer 16

mourning

Question 17

subjective response experienced by the surviving loved ones after the death of a person with whom they have shared a significant relationship

Answer 17

bereavement

Question 18

• brief but genuinely felt
• can occur when the lost object is not significantly important to the grieving person or may have been replaced immediately by another equally esteemed object

Answer 18

abbreviated grief

Question 19

experienced in advance of the event

Answer 19

anticipatory grief

Question 20

• occurs when a person is unable to acknowledge the loss to other persons
• often relate to a socially unacceptable loss that cannot be spoken about

Answer 20

disenfranchised grief

Question 21

• exists when the strategies to cope with the loss are maladaptive
• contributing factors: prior traumatic loss, family or cultural barriers to the emotional expression of grief, sudden death, strained relationships , lack of adequate support

Answer 21

complicated

Question 22

types of complicated grief (4)

Answer 22

• unresolved / chronic
• inhibited
• delayed
• exagerrated

Question 23

stages of grief

Answer 23

• denial
• anger
• bargaining
• depression
• acceptance

Question 24

death is an ___ or ___

Answer 24

event, state

Question 25

• subjective and private experience
• a dynamic process, a stage of life

Answer 25

dying

Question 26

from a medical point of view, ___ begins when the person has an untreatable and fatal disease

Answer 26

dying

Question 27

traditional clinical signs of death

Answer 27

cessation of apical pulse, respiration, and BP

Question 28

the ___ is usually responsible for deciding what, when, and how the patient should be told

Answer 28

physician

Question 29

• focus on support and care of the dying person and family
• based on holistic concepts that emphasize care to improve the quality of life rather than cure

Answer 29

hospice home care

Question 30

goal of hospice home care

Answer 30

a peaceful and dignified death

Question 31

• hospice care
• taking care of the whole person-body, mind, and spirit, heart and soul

Answer 31

palliative care

Question 32

goal of palliative care

Answer 32

give the best quality of life by aggressive management of symptoms