Loss, Grieving, and Death

Question 1

An actual or potential situation in which something that is valued is changed or no longer available. People can experience the loss of the body image, a significant other, a sense of wellbeing, a job, personal possessions, or beliefs. Illness and hospitalization often produce losses

Answer 1

Loss

Question 2

Type of loss recognized by others

Answer 2

Actual loss

Question 3

Type of loss experienced by one person but cannot be verified by others

Answer 3

Perceived loss

Question 4

Type of loss experienced before the loss actually occurs

Answer 4

Anticipatory loss

Question 5

Loss of one’s job, the death of a child, or the loss of functional ability because of acute illness or injury

Answer 5

Situational loss

Question 6

Losses that occur in the process of normal development such as the departure of grown children from the home retirement from a career, and the death of aged parents.

Answer 6

Developmental loss

Question 7

Total response to the emotional experience related to loss

Answer 7

Grief

Question 8

Subjective response experienced by the surviving loved ones after the death of a person with whom they have shared a significant relationship

Answer 8

Bereavement

Question 9

The behavioral process through which grief is eventually resolved or altered: it is often influenced by culture, spiritual beliefs, and custom

Answer 9

Mourning

Question 10

Type of grief response where it is brief but genuinely felt. This can occur when the lost object is not significantly important to the grieving person or may have been replaced immediately by another, equally esteemed object

Answer 10

Abbreviated grief

Question 11

Type of grief response where it is experienced in advance of the event such as the wife who grieves before her ailing husband dies

Answer 11

Anticipatory grief

Question 12

Type of grief response where it occurs when a person is unable to disclose the loss to other persons

Answer 12

Disenfranchised grief

Question 13

Type of grief response where unhealthy grief that is pathologic in nature. Exist when the strategies to cope with the loss are maladaptive

Answer 13

Complicated Grief

Question 14

Type of complicated grief where the same signs are expressed as with normal grief, but the bereaved may also have difficulty expressing the grief, may deny the loss, or may grieve beyond the expected time

Answer 14

Unresolved grief

Question 15

Type of complicated grief where many of the normal symptoms of grief are suppressed and other effects including somatic are experienced instead

Answer 15

Inhibited grief

Question 16

Type of complicated grief where it occurs when feelings are purposely or subconsciously suppressed until a much later time

Answer 16

Delayed grief

Question 17

Type of complicated grief where the survivor who appears to be using dangerous activities as a method to lessen the pain of grieving

Answer 17

Exaggerated grief

Question 18

5 Kubler-Ross Stages of Grieving

Answer 18

Denial
Anger
Bargaining
Depression
Acceptance

Question 19

Refuses to believe that loss is happening. May assume artificial cheerfulness to prolong denial

Answer 19

Denial

Question 20

Client or family may direct anger at nurse or
staff about matters that normally would not
bother them

Answer 20

Anger

Question 21

Seeks to bargain to avoid the loss.

Answer 21

Bargaining

Question 22

Comes to terms with the loss. May have decreased interest in surroundings and support
people. May wish to begin making plans.

Answer 22

Acceptance

Question 23

Grieves over what has happened and what

cannot be

Answer 23

Depression/Grieving

Question 24

What are the signs of impending clinical death?

Answer 24

Loss of Muscle tone
Slowing of the Circulation
Changes in Respirations
Sensory impairment

Question 25

Cessation of pulse, respiration, and blood pressure is an indication of what kind of death?

Answer 25

Heart-lung death

Question 26

The death that occurs when the higher brain center, the cerebral cortex is irreversibly destroyed

Answer 26

Cerebral death

Question 27

What are the indications of death?

Answer 27

• Total lack of response to external stimuli
• No muscular movement, especially breathing
• No reflexes
• Flat encephalogram (brain waves)

Question 28

What are the 3 stages of postmortem care?

Answer 28

Rigor Mortis
Algor Mortis
Livor Mortis

Question 29

Stage of postmortem that refers to the stiffening of the body that occurs about 2 to 4 hours after death

Answer 29

Rigor Mortis

Question 30

Stage of postmortem that refers to the gradual decrease of the body’s temperature after death

Answer 30

Algor Mortis

Question 31

Stage of postmortem that refers to the discoloration of the body which appears in the lowermost or dependent areas of the body

Answer 31

Livor Mortis

Question 32

True or False:

During the nursing interventions for the body after death, remove all jewelries except the wedding band that is taped to the finger.

Answer 32

True