NSG 121 | NSG121 Final Exam | Health Assessment Final Exam Study Guide | Rated A+ | Herzing
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NSG 121/ NSG121
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NSG 121/ NSG121
NSG 121 | NSG121 Final Exam | Health Assessment Final Exam Study Guide | Rated A+ | Herzing
NSG 121 | NSG121 Final Exam | Health Assessment Final Exam Study Guide | Rated A+ | Herzing
NSG 121 | NSG121 Final Exam | Health Assessment Final Exam Study Guide | Rated A+ | Herzing
NSG 121 | NSG121 Final Exam | Health
Assessment Final Exam Study Guide |
Rated A+ | Herzing
Basic concepts about Hospice care
- Correct Answer - · No "life-sustaining interventions" but can withdraw
from hospice if the client/family
· All clients are eligible, depends on diagnosis and referral
· The problem is often referral is made close (days/weeks) to end of life
so limited support to the person and family
· A philosophy (not a place - it takes place in many locations)
· Comfort over cure
· "terminal" definition of 6 months
· 1982 Medicare benefit
Complicated grief
- Correct Answer - · Complicated grieving occurs when the person
continues to have difficulty coming to terms with the loss beyond the
normal grieving period (1 year+)
· Experiences phenomenon outside of normal grieving
· Grieving interferes with their normal functioning in work, relationships,
ADLs
· Types of complicated grieving
o Chronic - more than one year
o Delayed - normal grieving postpones, suppressed, or exaggerated
,· Some reasons for complicated grief
o Loss of a child, suicide of significant other, intense guilt, etc.
· Risk for higher incidence with DSM-5 depression, substance use,
PTSD
· Phenomenon outside of normal grieving
o Intrusive thoughts, morbid guilt/preoccupation, preoccupation with the
deceased, thoughts of suicide, self-harm or self-destructive behaviors,
lack of interest, feel as though part of them is missing, physical
symptoms without organic cause, hallucinations, or delusions
Therapeutic reply after loss - Correct Answer - o Ask open-ended
questions and listen in a spirit of seeking to understand the dying
individual, not to "fix" him or her
o Good listening skills
o Demonstrate caring and presence behaviors
client statement that indicates a specific stage of grief - Correct Answer -
o Denial and isolation - denial, shock, disbelief leads to isolation
§ "No, this can't be"
§ Silence, active listening - provide small amount of information when
they are ready
o Anger - rage, resentment, envy
§ "Why me?"
§ Acknowledge their right - recognize it's not their fault; help re-channel
o Bargaining - "okay me but..."
, § Encourage discussion of guilt and anger coping strategies used in the
past; reminisce happier times
o Depression - normal response as coping begins (important for staff to
know)
§ Short term goals, presence, pain control, support groups
o Acceptance
§ Spend time and give privacy
MHA spiritual assessment - Correct Answer - o Cultural identification
o Spiritual belief/religious practice
o What gives life meaning
What it looks like when nurses provide spiritual care - Correct Answer - ·
Active listening
o It is a simple concept but requires focus and conscious attention as
well as willingness to listen to their "story"
· Intentional presence
· Respecting, caring, loving, being fully present, and supporting the
patient
· Ask the patient how you can support them spiritually, listen to fears and
concerns without going into your own stuff, ask if you can pray with
them, use the gifts of presence and touch.
Important characteristics that PDs have in common - Correct Answer - ·
Usually sees themselves as normal and others as having the problem
· Do not take responsibility for their own behavior
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