LOSS, GRIEVING, AND DEATH

Question 1

is an actual or potential situation in which something that is valued is changed or no longer available

Answer 1

loss

Question 2

is a loss both for the dying person and for those who survive

Answer 2

death

Question 3

Types and sources of loss

Answer 3

actual
perceived

Question 4

is experienced before the loss actually occurs

Answer 4

anticipatory loss

Question 5

What are the sources of loss?

Answer 5

loss of an aspect of oneself
loss of an object external to oneself
separation from an accustomed environment
loss of a loved or valued person

Question 6

is the total response to the emotional experience related to loss

Answer 6

grief

Question 7

is the subjective response experienced by the surviving loved ones

Answer 7

bereavement

Question 8

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

Answer 8

mourning

Question 9

What are the types of grief responses?

Answer 9

anticipatory
disenfranchised
unhealthy
complicated grief

Question 10

is experienced in advance of the event such as the wife who grieves before her ailing husband dies.

Answer 10

anticipatory grief

Question 11

occurs when a person is unable to acknowledge the loss to other people.

Answer 11

disenfranchised grief

Question 12

Situations in which this may occur often relate to a socially unacceptable loss that cannot be spoken about, such as suicide, abortion, or giving a child up for adoption. Other examples include losses of relationships that are socially unsanctioned and may not be known to other people

Answer 12

disenfranchised grief

Question 13

exists when the strategies to cope with the loss are maladaptive and out of proportion or inconsistent with cultural, religious, or age-appropriate norms.

Answer 13

unhealthy grief

Question 14

The disorder, referred to by physicians as persistent complex bereavement disorder, may be said to exist if the preoccupation lasts for more than 6 months and leads to reduced ability to function formally

Answer 14

unhealthy grief

Question 15

is extended in length and severity.

Answer 15

unresolved or chronic grief

Question 16

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 16

complicated grief

unresolved or chronic grief

Question 17

many of the normal symptoms of grief are suppressed and other effects, including somatic, are experienced instead.

Answer 17

inhibited grief

Question 18

occurs when feelings are purposely or subconsciously suppressed until a much later time.

Answer 18

delayed grief

Question 19

A survivor who appears to be using dangerous activities as a method to lessen the pain of grieving may experience

Answer 19

exaggerated grief

Question 20

who described five stages: denial, anger, bargaining, depression, and acceptance

Answer 20

Kübler-Ross

Question 21

What are the five stages of grieving

Answer 21

denial
anger
bargaining
depression
acceptance

Question 22

Engel (1964) identified six stages of grieving

Answer 22

shock and disbelief
developing awareness
restitution
resolving the loss
idealization
outcome

Question 23

Five phases of bereavement according to??

Answer 23

Catherine Sanders

Question 24

Five phases of bereavement

Answer 24

shock
awareness of loss
conservation-withdrawal
the turning point
renewal

Question 25

a normal complex process that includes emotional, physical, spiritual, social, and intellectual responses and behaviors by which individuals, families, and communities incorporate an actual, anticipated, or perceived loss into their daily lives

Answer 25

grieving

Question 26

a disorder that occurs after the death of a significant other

Answer 26

complicated grieving or risk for complicated grieving

Question 27

Responses to dying and death, the nurse may observe:

Answer 27

apathy
pessimism
inability to decide

Question 28

clinical signs of death

Answer 28

cessation of
1. apical pulse
2. respirations
3. blood pressure

Question 29

The traditional clinical signs of death were cessation of the apical pulse, respirations, and blood pressure, also referred to as

Answer 29

heart-lung death

Question 30

what are the clinical signs of death?

Answer 30

total lack of response to external stimuli
no muscular movement, esp breathing
no reflexes
flat encephalogram (brain waves)