UNIT XX - Grief Management Flashcards
Define Loss
Is an actual or potential situation in which something that is valued is changed or no longer available.
Define Grief
A whole range o feelings, thoughts and behaviors related to loss. It is overwhelming, distress or sorrow.
What is Bereavement?
It is the normal grieving period expressed by surviving loved ones.
What is Mourning?
Involves the process and rituals through which grief is resolved. It is influenced by culture, beliefs and customs.
Berman Textbook - Chapter 30
What are normal grief reactions?
Abbreviated grief and anticipatory grief
see page 871
Define Anticipatory Grief.
Grieving before the loss actually occurs.
What is Dysfunctional Grieving?
Characterized by an extended period of denial, depression, severe psychological symptoms and suicidal thoughts.
What are the two general types of Loss?
Actual and perceived
What is Actual Loss?
Recognized by others.
What is Perceived Loss?
Experienced by one person but cannot be verified by others.
How is loss viewed?
situational loss or developmental loss.
Describe situation loss
The loss of a job, the death of a child, or the loss of functional ability because of acute illness or injury.
What is the initial stage of grieving?
Denial
What is the last stage of grieving?
Acceptance
Berman Textbook - Chapter 30
The nurse helps a 50-year-old diabetic client who is to begin giving insulin injections identify previously successful coping strategies that may be useful in the current situation. Which of the following stressors is closely related to the new stressor?
A. Interviewing for a new job
B. Death of a pet while the person was a teenager
C. The person’s partner filing for a divorce
D. Starting to wear eyeglasses at age 30
D. Starting to wear eyeglasses at age 30
Berman Textbook - Chapter 30
A client who was informed of a cancer diagnosis assures the nurse he is fine. Which of the following is the most indicative physical evidence to the nurse of the client’s stress?
A. Constricted pupils
B. Dilated peripheral blood vessels (flush)
C. Hyperventilation
D. Decreased heart rate
C. Hyperventilation
Berman Textbook - Chapter 30
A client’s family tells the nurse that their culture does not permit a dead person to be alone before burial. Hospital policy states that after 6:00 pm when mortuaries are closed, bodies are to be stored in the hospital morgue refrigerator until the next day. How would the nurse best manage this situation?
A. Gently explain the policy to the family and then implement it.
B. Inquire of the nursing supervisor how an exception to the policy could be made.
C. Call the client’s primary care provider for advice.
D. Move the decreased to an empty room and assign an aide to stay with the body.
B. Inquire of the nursing supervisor how an exception to the policy could be made.
Berman Textbook - Chapter 30
Immediately after the parents of a hospitalized child are informed that the child has leukemia, the father responds by continuing his usual work schedule, rarely visiting, and asking when the child can return to school. Of the following, which is the LEAST likely to be an appropriate nursing diagnosis at this time?
A. Ineffective Denial
B. Caregiver Role Strain
C. Fear
D. Compromised Family Coping
B. Caregiver Role Strain
Berman Textbook - Chapter 30
The shift changed while the nursing staff was waiting for the adult children of a deceased client to arrive. The oncoming nurse has never met the family. Which of the following greeting is most appropriate?
A. “I’m very sorry for your loss.”
B. “I’ll take you in to view the body.”
C. “I didn’t know your father but I am sure he was a wonderful person.”
D. “How long will you want to stay with your father?”
A. “I’m very sorry for your loss.”
Berman Textbook - Chapter 30
Which of the following may be considered normal or “healthy” types of grief? Select all that apply.
A. Abbreviated grief B. Anticipated grief C. Disenfranchised grief D. Unresolved grief E. Inhibited grief
A. Abbreviated grief
B. Anticipated grief
C. Disenfranchised grief
Berman Textbook - Chapter 30
An 82-year-old man has been told by his primary care provider that it is no longer safe for him to drive a car. Which statement by the client would indicate beginning positive adaption to this loss?
A. “I told the doctor I would stop driving, but I am not going to yet.”
B. “I always knew this day would come, but I hoped it wouldn’t be now.”
C. “What does he know? I’m a better driver than he will ever be.”
D. “Well, at least I have friends and family who can take me places.”
D. “Well, at least I have friends and family who can take me places.”
Berman Textbook - Chapter 30
The nurse, working on a hospice unit, identifies which of the following clients as being closest to death?
A. The 85-year-old female who is incontinent of urine.
B. The 58-year-old man with diminished sensation in the right lower leg.
C. The 28-year-old client with a slow weak pulse and irregular breathing.
D. The 47-year-old client with absent gag reflex.
C. The 28-year-old client with a slow weak pulse and irregular breathing.
Berman Textbook - Chapter 30
The nurse is caring for a terminally ill client who anticipates dying while hospitalized. During routine care the client often laments not being able to say good-bye to his dog but recognizes that hospital regulations prevent animals from visiting. A priority nursing action is to:
A. Find alternate means for the client to say good-bye to his dog such as talking to the dog over the phone via a picture.
B. Encourage the family to sneak the dog into the client’s room and assure them the nurses will look the other way.
C. Obtain permission from the physician to place the client onto a stretcher and wheel him outside where his family can be waiting with his dog.
D. Tell the client, “I am so sorry you can’t see your dog. That must be very difficult for you. Would you like me to put pictures of your dog on the wall so you can at least see him?”
C. Obtain permission from the physician to place the client onto a stretcher and wheel him outside where his family can be waiting with his dog.
What is closed awareness?
The client is not ware of impending death.
