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Nurs212 > N212 Lecture 8 > Flashcards

N212 Lecture 8 Flashcards

1
Q

maturational loss is

A

a form of necessary loss and includes all normally expected life changes across the life span.

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2
Q

situational loss is

A

sudden, unpredictable external events

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3
Q

losses can be actual or perceived, true or false

A

true

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4
Q

actual loss is when

A

a person can no longer feel, hear, see or know a person or object

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5
Q

a perceived loss is defined

A

by the person experiencing the loss and is less obvious to other people

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6
Q

bereavement involves both grief and mourning, true or false

A

true

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7
Q

normal grief is uncomplicated, its a common and universal, true or false

A

true

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8
Q

anticipatory grief is before the actual loss or death occurs, true or false

A

true ( especially in situations of prolonged or predicted loss)

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9
Q

disenfranchised grief is when

A

their relationship to the deceased person is not socially sanctioned, cannot be openly shared or seems of lesser significance

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10
Q

ambiguous loss is a type of disenfranchised grief when a person is physically there but not psychologically available, true or false

A

true

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11
Q

complicated grief is

A

a person has a prolonged or significantly difficult time moving forward after a loss, trouble accepting the death and trusting others

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12
Q

a person with chronic grief experiences a normal grief response except it lasts longer, true or false

A

true

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13
Q

a person with exaggerated grief often exhibits self destructive or maladaptive behaviors, obsessions, or psychiatric disorders, true or false

A

true

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14
Q

masked grief is when

A

a grieving person behaves in ways that interfere with normal functioning but is unaware that the disruptive behavior is due to the loss

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15
Q

The end of life nursing consortium ( ELNEC) provides

A

basic and advanced curriculum for loss, grief, death and bereavement

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16
Q

The american nurses association (ANA) has developed the scope and standards for hospice and palliative nursing practice, true or false

A

true

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17
Q

who offers evidence based practice guidelines for managing clinical and ethical issues at the end of life in many health care settings

A

american society of pain management nurses and the american association of critical care nurses

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18
Q

why to encourage patients to share information about a loss

A

will help us develop appropriate interventions that will help those patients

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19
Q

what influences a persons grief process in direct and indirect ways

A

socioeconomic status

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20
Q

how to provide the best possible individualized care for patients when it comes to loss

A

caring for the patient in a holistic approach

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21
Q

hopefulness gives a person the ability to see life as enduring or having meaning or purpose, true or false

A

true

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22
Q

discuss end of life care preferences early in the assessment phase of the nursing process, true or false

A

true

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23
Q

what questions can open the door to a patient centered discussion

A

open ended questions

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24
Q

types of grief variables

A

coping style, family relationships, culture, spirituality

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25
Q

types of grief reactions

A

sorrow, disbelief, confusion, headache

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26
Q

loss takes place in a social context, true or false

A

true

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27
Q

feelings of grief that develop before, rather than after a loss is called

A

anticipatory grief

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28
Q

prolonged and intense mourning after a death, loss or separation is a

A

complicated grief

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29
Q

palliative care focuses on

A

the prevention, relief, reduction, or soothing of symptoms of disease or disorders through out the entire course of the illness (can include care of dying)

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30
Q

palliative care primary goal is

A

help patients and families achieve the best possible quality of life

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31
Q

hospice care is for

A

care of terminally ill patients, manage pain, provide comfort and ensure quality of life

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32
Q

what approach allows us to respond to patients rather than to react and encourages the sharing of information

A

patient focused approach

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33
Q

myoclonus is

A

involuntary muscle twitching

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34
Q

nursing strategies that promote hope are to be present and provide whole person care, true or false

A

true

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35
Q

to control respiratory secretions we use

A

antimuscarinic drugs

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36
Q

spirituality is defined as

A

awareness of ones inner self and sense of connection to a higher being, nature or purpose greater than oneself

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37
Q

spirituality helps with

A

achieving balance to maintain health, well being ability to cope with illness

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38
Q

concepts of spirituality and religion are often interchanged, true or false

A

true but spirituality is much broader

39
Q

beneficial health outcomes occur when individuals are able to exercise their spiritual beliefs, true or false

40
Q

believing helps with healing, true or false

41
Q

the beneficial effects of spirituality are tied to

A

hormonal and neurological activities

42
Q

the 5 constructs that define spirituality

A

self transcendence( authentically connecting to ones inner self), connectedness(being intrapersonally connected within oneself), faith( having beliefs despite lack of physical evidence), hope( energizing source that has orientation to future goals and outcomes)

43
Q

inner peace fosters

A

calm, positive, peaceful feelings despite life experiences

44
Q

spirituality helps people find meaning and purpose of life in both positive and negative events, true or false

45
Q

agnostic is

A

they believe that there is no known ultimate reality

46
Q

spiritual well being is

A

having 2 dimensions, one supports the transcendent relationship between a person and god and other dimension has positive relationships and connections with other people

47
Q

a spiritual person faith brings hope, true or false

48
Q

what 2 types of care do a patient benefit from

A

religious and spiritual

49
Q

spiritual distress is

A

a state of suffering related to the impaired ability to experience meaning in life through connections with self, others and the world

50
Q

spiritual distress causes a person to feel

A

doubt, loss of faith, sense of being alone

51
Q

spiritual assessment is therapeutic because

A

it expresses a level of caring

52
Q

spiritual well being scale has 20 questions, true o false

53
Q

FICA assessment tool assesses quality of life, FICA stands for

A

F- faith or belief
I- important and influence
C- community
A- address (interventions)

54
Q

conflicting religious beliefs is

A

conflict between religious beliefs and recommended treatments

55
Q

conflicting spiritual belief is

A

inner conflict or struggles about beliefs

56
Q

despair is

A

complete loss of hope

57
Q

disrupted spiritual rituals

A

inability to exercise usual spiritual rituals

58
Q

hopelessness is having no expectation of a favorable outcome, true or false

59
Q

lack of meaning is believing ones life lacks purpose and worth, true or false

60
Q

spiritual distress is

A

a disturbance in a persons belief system

61
Q

risk for spiritual distress is

A

increased risk for disturbance in a persons belief system

62
Q

whats an effective coping resource for physical and psychological symptoms

63
Q

what creates a relaxation response to reduce daily stress

A

meditation

64
Q

evaluation data related to spiritual health are usually

A

subjective

65
Q

what affects circadian rhythms (sleep)

A

light, temperature, social activities, work routines

66
Q

stages of sleep are

A

nonrapid eye movement (NREM), rapid eye movement(REM)

67
Q

what controls the circadian rhythms sleep wake cycle

A

hypothalamus

68
Q

all persons have biological clocks that synchronize their sleep cycles, true or false

69
Q

the homeostatic process ( process S) regulates

A

the length and depth of sleep

70
Q

the circadian rhythms ( process C) influence

A

the internal organization of sleep and the timing and duration of sleep wake cycles

71
Q

the time of wake up is defined by the intersection of process s and process C, true or false

72
Q

hypersomnias are sleep disturbances that results in daytime sleepiness and not caused by disturbed sleep or alterations in circadian rhythms, true or false

73
Q

a polysomnogram monitors the stages of sleep and wakefulness during nighttime sleep, true or false

74
Q

what provides objective information about sleepiness and selected aspects of sleep structure by measuring eye movements, muscle tone changes and brain activity

A

the multiple sleep latency test

75
Q

insomnia the most common sleep disorder is

A

when they chronically have difficulty falling asleep

76
Q

sleep apnea is

A

a disorder characterized by lack of airflow through the nose and mouth for periods of 10 secs or longer.

77
Q

3 types of sleep apnea are

A

central, obstructive and mixed

78
Q

OSA( obstructive sleep apnea) 2 major risk factors are

A

obesity and hypertension

79
Q

sleep apnea is considered lack of airflow through mouth and nose for periods of

A

10 secs or longer during sleep

80
Q

diminishing nasal airflow is

81
Q

stopping nasal airway is

82
Q

central sleep apnea (CSA) involves

A

dysfunction in the respiratory control center in the brain

83
Q

cataplexy is

A

sudden muscle weakness during intense emotions

84
Q

parasomnias are sleep problems that are more common with children, true or false

85
Q

parasomnias include

A

sleepwalking, night terrors, nightmares, bed wetting, body rocking, tooth grinding

86
Q

some older adults have almost no more stage 4 NREM sleep, true or false

87
Q

what are the 2 effective subjective measures of sleep

A

the Epworth sleepiness scale and the Pittsburgh sleep quality index

88
Q

insomnia is

A

difficulty falling asleep or staying asleep

89
Q

melatonin is

A

neurohormone produced in the brain that helps control circadian rhythms and promote sleep

90
Q

recommended dose of melatonin is 0.3 to 1mg taken 2 hours before bedtime, true or false

91
Q

valerian is effective in

A

mild insomnia and RLS

92
Q

kava helps promote

A

sleep in patients with anxiety

93
Q

chamomile herbal tea has a mild sedative that may

A

promote sleep

Nurs212 (8 decks)

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