Exam 2 - Seminar Material

Question 1

natural and normal reaction to loss (range from emotional, physical, social, or symbolic, etc.)

Answer 1

Grief

Question 2

period following a loss during which grief and mourning occurs

Answer 2

Bereavement

Question 3

the process by which people adapt to a loss. Influenced by cultural customs and rituals

Answer 3

Mourning

Question 4

grapple with the real possibility of loss in the near future

Answer 4

Anticipatory Grieving

Question 5

loss of a limb is an example of loss that would fall where on maslows hierarchy of needs?

Answer 5

Physiologic

Question 6

Domestic or public Violence is an example of loss that falls where on maslows hierarchy of needs?

Answer 6

Safety

Question 7

loss of a relationship, home, job, breach of confidentiality is an example of loss that falls where on maslows hierarchy of needs?

Answer 7

Security

Question 8

loss of role in a relationship or group is an example of loss that falls where on maslows hierarchy of needs?

Answer 8

Belonging

Question 9

change in self-perception or self-worth is an example of loss that falls where on maslows hierarchy of needs?

Answer 9

Self - Esteem

Question 10

A block, inhibiting personal goals or individual potential

is an example of loss that falls where on maslows hierarchy of needs?

Answer 10

Self-actualization

Question 11

Describe The Kubler-Ross theory on grieving.

Answer 11

• DABDA*-5 stages
• Denial - shock and disbelief
• Anger - expressed towards god, family etc
• Bargaining - Making a deal with god for more time
• Depression - Acute awareness of loss, present & future
• Acceptance - Coming to terms

Question 12

Describe Rodebaughs theory on grieving

Answer 12

• Reeling – shock, disbelief, denial
• Feeling – anguish, guilt, sadness, anger, body issues
• Dealing – begins to adapt, support groups, etc.
• Healing – integrates loss as part of life

Question 13

Stages of Grief?

Answer 13

• Avoidance - Numbing, Blunting, Denial
• Confrontation - Active mourning, Disorganization, Despair
• Reestablishment - Gradual, Reorganization, Recovery

Question 14

What are the responses to loss?

Answer 14

• Affective - Anger, Guilt
• Behavioral - Inability to perform ADLs, isolation, rumination
• Cognitive - Difficulty concentrating, Hallucinations
• Physical - Anorexia, insomnia
• Spiritual - Disillusioned with higher power

Question 15

Tasks in grief?

Answer 15

• Telling death story
• Expressing sadness, guilt, emotions
• Reviewing the relationship
• Exploring life after loss
• Understanding problems in grief
• Being understood/accepted by others

Question 16

Grief over a loss that is not or cannot be acknowledged openly, mourned publicly, or supported socially

Answer 16

Disenfranchised Grief

Question 17

3 categories of Disenfranchised Grief?

Answer 17

• Non-legal relationship
• Loss is not recognized (Miscarriage, Pet)
• Griever is not recognized (Older adult, Child)

Question 18

Describe complicated grieving

Answer 18

*Response outside the norm - void of emotions, disproportionate expressions of grief, prolonged period

Question 19

Risk Factors for complicated grief?i

Answer 19

• Death of a spouse or child, parent (especially) in early childhood or adolescence
• Unexpected, untimely or multiple death, murder or suicide
• Low self-esteem, mistrust, psychiatric disorders, previous suicide threats or attempts, absent/unhelpful family, ambivalent attachment, dependent or interdependent attachment to deceased, insecure attachment to parents in childhood, learned helplessness

Question 20

Give an example of anticipatory grief

Answer 20

Catastrophic diagnosis

Question 21

Give an example of acute grief

Answer 21

painful experience after loss

Question 22

Give examples of Dysfunctional grief?

Answer 22

• Traumatic
• Conflicted
• Absent/inhibited
• Chronic

Question 23

Bereavement care before a loss?

Answer 23

Primary promotion - family involvement in community, improved parenting

Question 24

Bereavement care for impending loss

Answer 24

• Assist towards reconciliation
• Promote participation in care
• Support groups/hospice
• Preventative counseling grief therapy

Question 25

Bereavement care after loss

Answer 25

• Hospice services keep in touch for 6 months to 2 years

* Hospice offers special child counseling programs

Question 26

Buyers in traffiking are known as?

Answer 26

Johns

Question 27

If you think your patient is a trafficking victim, what should you do?

Answer 27

• communicate messages of hope
• Assess safety
• Make refferals