Loss, Grief, & Dying

Question 1

What are the 5 factors that affect grief?

Answer 1

The significance of the loss
Support system
Unresolved conflict
Previous loss/ timeliness
Spiritual beliefs

Question 2

Chronic grief, masked grief, and delayed grief are all examples of-

Answer 2

Complicated Grief

Question 3

Grief that extends into long term with little resolution of feelings =

Answer 3

Chronic Grief

Question 4

Masked Grief =

Answer 4

Bereaved may drink excessively, argue

Question 5

Putting grief off till a “better” time to deal with it =

Answer 5

Delayed Grief

Question 6

Grief that is not socially supported or acknowledged by the usual rites and ceremonies =

Answer 6

Disenfranchised Grief

Question 7

Experienced before the loss actually occurs (Alzheimer’s) =

Answer 7

Anticipatory Grief

Question 8

Higher-Brain Death =

Answer 8

No brain activity. Brain stem may still be functional, so both respiratory and cardiac activity can continue even after brain activity stops

Question 9

Prolonged, deep state of unconsciousness lasting days or even years =

Answer 9

Coma

Question 10

The person has lost only the higher cerebral functions, continues to have a sleep-wake cycle, may have some spontaneous movements and may open eyes in response to external stimuli =

Answer 10

Persistent Vegetative State

Question 11

1-3 months prior to death you typically experience:

Answer 11

Begin to withdraw from the world and people.
Sleep increases.
Liquids become preferred.
Poor appetite

Question 12

1-2 weeks before death, you typically experience:

Answer 12

Reduced BP
Pallor of extremities
Temp. fluctuations
Brief periods of apnea
Congestions increase

Question 13

Days to hours before death, you typically experience:

Answer 13

A surge of energy
Mental clarity
A desire to eat
Secretions accumulate
Breathing becomes shallow, rapid, or irregular (Cheyne-Strokes)
Sphincters relax
Restlessness + agitation

Question 14

Moments before death, you typically experience:

Answer 14

Not responding to touch or sound
Can’t be awakened
Short series of long-spaced breaths

Question 15

What are Kubler Ross’s Psychological Stages of Dying in order?

Answer 15

Denial
Anger
Bargaining
Depression
Acceptance

Question 16

In regards to Kubler Ross’s Psychological Stages of Dying, do you have to complete one stage to move onto the next? Can you experience 2-3 stages at the same time?

Answer 16

You can experience multiple stages at the same time. You don’t necessarily have to complete one stage to move onto the next

Question 17

End of life care should be delivered with-

Answer 17

Compassion, sensitivity, and competency

Question 18

Does end of life care include palliative and hospice care?

Answer 18

Yes

Question 19

End of life care should include holistic assessment of -

Answer 19

Both the patients and their families

Question 20

Difference between palliative care and hospice care?

Answer 20

Palliative care can include patients undergoing curative treatments, hospice does not.

In hospice care, quality of life is as important as length of life. This is not the case for palliative care.

Question 21

May a DNR order be prescribed by a physician?

Answer 21

Yes

Question 22

When someone else gets appointed by the PT to make decisions for them once they are no longer able to make decisions for themselves =

Answer 22

Durable Power of Attorney

Question 23

List of instructions given by a PT that states their wishes before they are no longer able to make decisions for themselves anymore =

Answer 23

Advance Directive

Question 24

Does the ANA prohibit nurses from participation in assisted suicide or euthanasia?

Answer 24

Yes

Question 25

Lack of action such as withholding meds or food necessary to sustain life =

Answer 25

Passive Euthanasia

Question 26

Occurs because of a direct action (giving an overdose of meds), can be voluntary (PT consents) or involuntary (PT unable to consent or unaware of it) =

Answer 26

Active Euthanasia

Question 27

An autopsy requires signed consent from-

Answer 27

Next of kin except in cases of suspicious or unwitnessed death

Question 28

A PT must be how old for organ donation?

Answer 28

18

Question 29

Can relatives revoke a person’s organ donation, even after death?

Answer 29

No

Question 30

A PT expresses trouble trying to find meaning. How would you help them healthfully cope?

Answer 30

Talk them through it

Question 31

Who’s responsible for deciding what and how much to tell a PT?

Answer 31

The Primary Provider

Question 32

Dependent parts of corpse appear bluish and mottled-blood stops circulating =

Answer 32

Livor Mortis

Question 33

Occurs when blood stops circulating =

Answer 33

Algor Mortis

Question 34

Stiffening of body-contraction of muscles 2-4 hrs after death. Begins in involuntary muscles like the heart =

Answer 34

Rigor Mortis

Question 35

Can hospice care provide respite care?

Answer 35

Yes