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Nurse 154 Nursing Fundamentals > Week 5 > Flashcards

Week 5 Flashcards

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1
Q

Who developed the concept of “lines of defense

A

Betty Neuman

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2
Q

What are normal lines of defense?

Example

A

This is your normal level of health

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3
Q

What is a flexible line of defense?

example

A

The flexible line of defense serves as a situational protective buffer system for the individual’s normal or stable state

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4
Q

What influences the Normal lines of defense?

A

Stressors

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5
Q

What protects the normal lines of defense?

A

The flexible lines of defense

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6
Q

What strengthens the flexible lines of defense?

A

Primary prevention

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7
Q

What is Palliative care?

A

Treatment of signs and symptoms w/o treating the cause

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8
Q

What is hospice?

A

A philosophy to assist in the process of dying.

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9
Q

What is the min prognosis to qualify for hospice?

A

6 months to live

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10
Q

What are the goals of nursing when a client is facing end of life?

A

to promote a peaceful death through compassionate care and facilitating family coping

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11
Q

Define loss

A

When a valued person, object, or situation is changed or becomes inaccessible

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12
Q

Define actual loss

A

Loss that can be recognized by others as well as the person sustaining the loss

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13
Q

Define perceived loss

A

Loss experienced by the person but intangible to others

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14
Q

Define Anticipatory loss

A

Person displays loss and grief behaviors for a loss that has yet to take place

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15
Q

What is grief?

A

an internal emotional reaction to loss

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16
Q

What is mourning?

A

actions and expressions of grief

17
Q

Who is credited with the standard 5 stages of grief?

A

Elizabeth Kubler-Ross (1969)

18
Q

What are the 5 stages of grief?

DABDA

A 
Denial
Anger
Bargaining
Depression
Acceptance
19
Q

According to the state of Washington, what are the two accepted legal definitions of death?

A
  • Irreversible cessation of all circulatory and respiratory functions
  • Irreversible cessation of all functions of the entire brain including the brain stem
20
Q

When a dying patient is hypoxic, what death sign does this cause?

A

Restlessness and agitation

21
Q

What is a good death?

A

A death that is on the terms of the patient

  • Die with dignity
  • Die free of pain
22
Q

Can a nurse declare death in WA?

A

Yes but we can not certify death

23
Q

When communicating the death of a patient to family, What is the appropriate word to use?

A

Died, is dead

24
Q

Do the 5 stages of grief need to be experienced in order?

A

No, They can happen completely out of order or not at all

25
Q

What is a terminal illness

A

an illness in which death is expected withing a limited period of time an illness that is given a prognosis

26
Q

What are the two types of advanced directives?

A
  • Durable power of attorney for health care

- Living will

27
Q

A DNR can also be referred to as a

A

AND

-Allow Natural Death

28
Q

What is a comfort measures only order?

A

Indicates a goal of a comfortable, dignified death with no life sustaining measures

29
Q

Euthanasia directly translates to

A

Good death

30
Q

What is active euthanasia

A

-Taking specific step to cause patients death

31
Q

What is passive euthanasia

A

Withdrawing medical treatment with the intention of causing the patients death

32
Q

What is assisted suicide?

A

When the clinician provides the patient with the power to end their own life

33
Q

Why is avoiding the conversation about death a bad idea?

A

It robs the patient of precious time to accomplish goals that produce help

34
Q

What are the four categories of needs of a dying patient?

A
  • Physiologic
  • Psychological
  • Intimacy
  • Spiritual

Nurse 154 Nursing Fundamentals (10 decks)

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