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Maryville NURS663 Exam 2 questions with correct answers.
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Maryville NURS663 Exam 2 questions with correct answers.
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Maryville NURS663 Exam 2 questions with correctanswers
Phases of Grief Correct Answer-· Shock and denial (days-weeks) acute
anguish, lost patterns of conduct, resolution (months-year)
· Denial, bargaining, depression, anger, acceptance
· No real timeline, comes in waves
Grief vs. MDD Correct Answer-· Grief- Sx may meet syndromal criteria
for MDD episode, but survivor rarely has morbid feelings of guilt,
worthlessness, SI, or psychomotor retardation
o Considers self bereaved
o Dysphoria often triggered by thoughts or reminders of the deceased
o Onset within 2 months of bereavement
o Duration of depressive episode is less than 2 months
o Functional impairment is transient and mild
o No family or personal hx of depression
o Predominant affect is emptiness and loss
o Pain of grief accompanied with positive emotions and humor, self-
esteem generally preserved
MDD vs. Grief Correct Answer-MDD
o May consider self weak, defective, or bad
o Dysphoria is often autonomous and independent of thoughts or
reminders of the deceased
,o Onset at any time
o Depression often becomes chronic, episodic, or intermittent
o Clinically significant distress or impairment
o Family or personal hx of depression
o Persistent depressed mood and inability to anticipate happiness or
pleasure
o Pervasive unhappiness and misery, self-critical and pessimistic
ruminations, feelings of worthlessness and self-loathing
Persistent Complex Bereavement Disorder Correct Answer-o
Unshakeable grief that does not follow the general pattern of
improvement over time, individuals continue to experience persistent
and intense emotions or moods and unusual, severe symptoms that
impair major areas of functioning, or that cause extreme distress
o Persists for greater than 6 months after bereavement
o Patients report loss of self-worth and sense of self, feel emotionally
disconnected from others and do not wish to move on from
bereavement, sometimes feeling that to do so would represent a betrayal
of the deceased
o At least one of the following:
Intense and persistent yearning for the deceased
-Frequent preoccupation with the deceased
-Intense feelings of emptiness or loneliness
-Recurrent thoughts that life is meaningless or unfair without the
deceased
-A frequent urge to join the deceased in death
, Delirium Vs. Dementia Correct Answer-Delirium
o 4A & 3C: disturbance in attention and awareness.
o Abrupt/acute onset with altering severity throughout the day.
o Cognitive disturbance, consequence of another medical condition or
substance related.
o Can't be explained by neuro-cognitive dx or coma
o More short-term memory than long term memory impaired
o Orientation grossly disorganized
o Prominent hallucinations
o Poor attention
o Judgment, social skills, and behavior are grossly impaired
o Associated with acute illness, vital signs often abnormal, neuro exam
may be abnormal
Dementia vs. Delirium Correct Answer-Dementia
o More long-term memory impaired than short term
o Attention less impaired
o Orientation varies
o Rare hallucinations
o Judgment, social kills, and behavior are initially relatively intact
o Onset usually insidious
o Short term course varies, but stable
o Chronic and progressive
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