loss, grief, dying

Question 1

actual loss

Answer 1

can be recognized and seen by others

Question 2

perceived loss

Answer 2

felt by a person, but is intangible to others

Question 3

physical loss

Answer 3

losing a limb

Question 4

psychological loss

Answer 4

losing independence

Question 5

maturational loss

Answer 5

experienced as a result of natural developmental process

Question 6

situational loss

Answer 6

experienced as a result of an unpredictable event

Question 7

anticipatory loss

Answer 7

loss has not yet taken place

Question 8

grief

Answer 8

internal emotional reaction to loss

Question 9

bereavement

Answer 9

state of grieving from loss of a loved one

Question 10

mourning

Answer 10

actions & expressions of grief, including symbols and ceremonies that make up outward expression of grief

Question 11

loss

Answer 11

the experience of parting with an object, person, belief, or relationship that one values

Question 12

kubler-ross’s five stages of grief

Answer 12

1 denial and isolation
2 anger
3 bargaining
4 depression
5 acceptance

Question 13

engel’s six stages of grief

Answer 13

1 shock and disbelief
2 developing awareness
3 restitution
4 resolving the loss
5 idealization
6 outcome

Question 14

what is the medical criteria used to certify a death?

Answer 14

• cessation of breathing, no response to deep pain stimuli, & lack of reflexes
• spontaneous movement, flat encephalogram

Question 15

components of a good death

Answer 15

control of symptoms
preparation for death
opportunity to have a sense of completion in one’s life
good relationship with healthcare professionals

Question 16

clinical signs of impending death

Answer 16

difficulty swallowing or talking
nausea, flatus, abdominal distention
urinary and/or bowel incontinence
loss of movement, sensation, reflexes
decreasing body temeprature
weak, slow, or irregular pulse
decreasing BP
noisy, irregular, or cheyne-stokes respirations
restlessness
cyanosis of extremities

Question 17

two types of advanced directives

Answer 17

living will
durable power of attorney

Question 18

living will

Answer 18

specific about the type of care provided, cannot be changed

Question 19

durable power of attorney

Answer 19

appoints someone to make decisions

Question 20

active euthanasia

Answer 20

physician-assisted death

Question 21

passive euthanasia

Answer 21

allowing client to die on their own

Question 22

palliative sedation

Answer 22

giving client sedation if in palliative care

Question 23

goal of palliative care?

Answer 23

improve client’s and family’s quality of life