Spirituality/End of Life

Question 1

Explain Actual Loss

Answer 1

can be recognized by others

Question 2

Explain Perceived loss

Answer 2

is felt by person but intangible to others

Question 3

Explain Maturational loss

Answer 3

experienced as a result of natural developmental process

Question 4

Explain Situational loss

Answer 4

experienced as a result of an unpredictable event

Question 5

Explain Anticipatory loss

Answer 5

loss has not yet taken place

Question 6

Define Mourning

Answer 6

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

Question 7

Define Mourning Dysfunctional grief

Answer 7

abnormal or distorted; may be either unresolved or inhibited

Question 8

Define Dysfunctional grief

Answer 8

abnormal or distorted; it may be either unresolved or inhibited

Question 9

What is unresolved grief?

Answer 9

In unresolved grief, a person may have trouble expressing feelings of loss or may deny them. unresolved grief also describes a state of bereavement that extends over a lengthy period.

Question 10

What is inhibited grief?

Answer 10

a person suppresses feelings of grief and may instead manifest somatic (body) symptoms, such as abdominal pain or heart palpitations

Question 11

What are the 6 stages in Engel’s Six Stages of Grief?

Answer 11

Shock and disbelief
Developing awareness
Restitution
Resolving the loss
Idealization
Outcome

Question 12

What are the clinical signs of Impending Death?

Answer 12

Difficulty talking or swallowing
Nausea, flatus, abdominal distention
Urinary and/or bowel incontinence or constipation
Loss of movement, sensation, and reflexes
Decreasing body temperature, with cold or clammy skin
Weak, slow, or irregular pulse
Decreasing blood pressure
Noisy, irregular, or Cheyne-Stokes respirations
Restlessness and/or agitation
Cooling, mottling, and cyanosis of the extremities and dependent areas