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NUR 215 Exam 5 Questions and Answers Already Passe4
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NUR 215 Exam 5 Questions and Answers Already PassedWhat are the steps/phases of grief? (According to Kubler-Ross) - ANSWER denial
anger
bargaining
depression
acceptance
Describe "denial". - ANSWER The client has difficulty believing a terminal
diagnosis or loss
Describe "anger". - ANSWER The client lashes out at other people or things
Describe "bargaining". - ANSWER The client negotiates for more time or a cure
Describe "depression". - ANSWER The client is overwhelming saddened by the
inability to change the situation
Describe "acceptance". - ANSWER The client acknowledges what is happening
and plans for the future by moving on
What are influencing factors for grief/death/coping? - ANSWER current stage of
development
gender
interpersonal relationships and social support networks
type and significance of loss
culture and ethnicity
spiritual and religious beliefs and practices
socioeconomic status
What are manifestations of grief? (4) - ANSWER normal grief
anticipatory grief
complicated grief
disenfranchised grief
What is "normal grief"? - ANSWER grief that is considered uncomplicated
What is "anticipatory grief"? - ANSWER "letting go" of an object or person before
the loss
What is "complicated grief"? - ANSWER unresolved or chronic grief (difficult
progression through the grief process)
What is "disenfranchised grief"? - ANSWER grief that cannot be publicly shared or
not socially acceptable
, What are the types of loss? - ANSWER necessary loss
actual loss
perceived loss
maturational or developmental loss
situational loss
anticipatory loss
What is necessary loss? - ANSWER loss related to a change that is part of the
cycle of life that is anticipated but still can be intensely felt
What is actual loss? - ANSWER any loss of a valued person, item, or status, such
as loss of a job that can be recognized by others
What is perceived loss? - ANSWER any loss defined by the client that is not
obvious or verifiable to other to others
What is maturational or developmental loss? - ANSWER any loss normally
expected due to the developmental processing of life
What is situational loss? - ANSWER any unanticipated loss caused by an external
event
What is anticipatory loss? - ANSWER experienced before the loss happens
What is palliative care? - ANSWER keeping someone comfortable when nothing
else can be done
What are preventions of abandonment? - ANSWER prevent fear of dying alone
make your presence known
keep the client informed
allow family to stay overnight
help the client be as comfortable as possible
What are manifestations of death? - ANSWER -decreased LOC
-muscle relaxation of face
-labored breathing
-hearing is NOT diminished
-touch diminishes
-mucous collect in large airways
-incontinence bowel/bladder
-cyanosis occurs
-pupils do not react
-cool extremities
-perspiration
-decreased urinary output
-inability to swallow
What are interventions to the dying process? - ANSWER -promote continuity of
care and communication by limiting assigned staff changes
-assist the client and family to set priorities for end-of-life care
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