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Medical Surgical Nursing - First Sem > Death + Rehab > Flashcards

Death + Rehab Flashcards

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1
Q

(T/F) We should sympathize, not empathize

A

FALSE, we should empathize only to maintain a clear objective head

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2
Q

Types of Loss (APPP)

Give an example for each

A

Actual: object/person
Perceived: subjective, not tangible to others
Physical: body part
Psychological: emotional loss, body image

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3
Q

A series of intense physical and psychological

responses that occur following a loss

A

Grief

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4
Q

If grief is experienced for beyond _ months, this can lead to depression

A

6

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5
Q

Are the stages of grief by Kubler-Ross applicable to those who did not witness the death itself?

A

YES

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6
Q

Stages of Grief (DABDA)

A 
Denial
Anger
Bargaining
Depression
Acceptance
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7
Q

Give at least 3 ways to plan care for a dying patient

A 
Be present
Identify special concerns
Protect self esteem and confidentiality
Balance independence and assistance
Meet physiologic needs
Give factual information
Contact spiritual leader
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8
Q

Summarize the dying person’s bills of rights: to die in ___ and ____

A

Comfort

Integrity

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9
Q

What is the 3 step approach in using pain medications? (NWS)

A

NSAIDS
Weak Opioids
Stronger Opioids

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10
Q

What is a death rattle?

A

Coarse crackles-like that do not need to be auscultated to be heard

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11
Q

Signs of Impending Death (MCRS)

A

Loss of muscle tone
Slowing of circulation
Change in respiration
Sensory impairment

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12
Q

Types of death (CBB) and define each

A

Clinical: absent heartbeat, cardiac > respi arrest
Biological: 3-8 mins later, irreversible, metabolic processes are messed up
Brain: no more EEGs and reflexes

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13
Q

Match the physiologic change to its definition:

  1. Algor Mortis
  2. Livor Mortis
  3. Rigor Mortis

A. bluish-purple discoloration
B. body stiffens
C. body temperature decreases

A

1C
2A
3B

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14
Q

Give at least 3 nursing/postmortem care

A

Provide dignity, properly drape
Give time (closure/cathartic)
Check orders for special orders (autopsy)
Shave, remove all equipment, cleanse the body thoroughly (gentle bed bath), apply clean sheets and remove all trash
Position eyes closed, dentures in
Spray deodorizer
Do not rush the process. Clarify personal belongings that are to stay with the
client
Apply name tags according to protocol

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15
Q

Match the ff age to their corresponding trait r/t death:

  1. 12-18
  2. Infancy-5
  3. 45-65
  4. 18-45
  5. 5-9
  6. 65+
  7. 9-12

A. Does not understand death, death is sleep or not moving
B. Mid life crisis, death of parents and some friends
C. Death can be defied, reckless
D. Death is final but it will not come for him, violence leads to death
E. Death is still a faraway concept, interested in afterlife
F. Sees death as having multiple meanings
G. Influenced by religion and culture

A 
1C
2A
3B
4G
5D
6F
7E
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16
Q

Process of restoring a person’s ability to live and work in as normal a manner as possible.

A

Rehabilitative Nursing

17
Q 
Define the levels of disability:
Level I:
Level II:
Level III:
Level IV:
A

I: slight limitation in 1 or more ADL, able to work
II: moderate limitation in 1 or more ADL, workplace modifications
III: severe limitation in 1 or more ADL, unable to work
IV: total disability, near comlete dependence

18
Q

Goals of rehab: (FD)

A

Return of function

Prevent further disability

19
Q

Members of rehab team (PNPPPPOSVR)

A 
Patient
Rehab nurse
Physician
Physiatrist
PT
Psychologist
OT
Social Worker
Vocational Counselor
Rehab Engr
20
Q

Differentiate primary and secondary causes of disability

A

Primary: congenital, disease, injury
Secondary: inactivity, disuse

21
Q

Types of Disuse Syndrome (MJMCSP)

A 
Muscle Atrophy
Joint Contracture
Metabolic Disturbance
Circulatory Disturbance
Sphincter Disturbance
Psychological Deterioration
22
Q

Stages of a Psychological Reaction (DDA)

A

Denial
Depression
Acceptance

23
Q

3 ways of positioning

A

Dorsal
Side lying
Prone

24
Q

Match the Types of Exercise with its definition:

  1. Active assistive
  2. Isometric
  3. Passive
  4. Resistive
  5. Active
A. Fully assisted to move
B. Full independence
C. Alternate contract and relax in a fixed position
D. Go against
E. Partly move, assist if weak
A 
1E
2C
3A
4D
5B
25
Q

How to prevent bed sores? (PCN)

A

remove pressure
clean skin
optimal nutrition (malnourished = more prone)

26
Q

Identify sequence of stages of bed sores:

  1. beyond subcutaneous tissue, up to bones
  2. blanching over bony area
  3. up to subcutaneous tissue
  4. dermis level
A

2-4-3-1

Medical Surgical Nursing - First Sem (9 decks)

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