Grief Loss Death EOCHQ Flashcards
Which of the following may be considered normal or “healthy” types of grief?
Abbreviated grief
Anticipatory grief
Disenfranchised grief
A pts family tells the nurse that their culture does not permit a dead individual to be left alone before burial. Hospital policy states that after 1800 when mortuaries are closed, bodies are to be stored in the hospital morgue refrigerator until the next day. How would the nurse best manage this situation?
Inquire of the nursing supervisor how an exception to policy could be made
The shift changed while nursing staff was waiting for the adult children of a deceased pt to arrive. The oncoming nurse has never med the family. Which initial greeting is most appropriate?
I am very sorry for your loss
{acknowledge the family’s grief simply. Avoid statements that may be interpreted as overly impersonal}
At which age does a child begin to accept that he or she will someday die?
9 - 12 years old
{Children under 5 y/o believe death s reversible.// 9-12 recognizes that he or she will someday die}
An 82 y/o man has been told by his PCP that it is no longer safe for him to drive a car. Which statement by the pt would indicated beginning positive adaptation to his loss?
Well at least I have friends that can drive me around
When asked to sign the permission form for surgical removal of a large but noncancerous lesion on her face, the pt begins to cry. Which is the most appropriate response?
Tell me what it means for you to have this surgery
A nursing care plan includes the desired outcome of quality of life for a pt with chronic degenerative illness who is likely to live for many years. Which example would indicate the outcome has been met?
The pt verbalizes satisfaction with current relationships with other people
The nurse is caring for a family in a shelter 2 days after the loss of their home due to a fire. The fire caused minor burns to several members of the family but no life threatening conditions. Which is the most important assessment data for the nurse to gather at this time?
Family member grief responses and coping behaviors {To plan and assist the family the nurse needs more data regarding the family’s reaction to their loss/ their injuries are not life threatening}
The pt has been close to death for some time and the family asks how the nurse will know when the pt is actually dead. What would be the most accurate response from the nurse?
When there is no apical pulse {If there is no heartbeat the pt has died. BP may not be heard because it is very low}
Inworking with a dying pt , the nurse demonstrates assisting the pt to die with dignity when performing which action?
Allows the pt to make as many decisions about care as possible.
