Term
| A woman who is firmly committed to natural childbirth and who has attended each natural childbirth class in preparation for labor and delivery undergoes a cesarean delivery when her fetus displays signs of distress. Inconsolable, she cries and calls herself a failure as a mother. What kind of loss is she experiencing? |
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Definition
| Actual, perceived, and Psychological |
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Term
| What term describes the period of acceptance of loss and grief during which of the person learns to deal with loss through actions and expressions of grief? |
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Definition
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Term
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Definition
| A period of acceptance of loss and grief during which the person learns to deal with loss |
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Term
| A nurse interviews and 82-year old resident of a nursing home who says that she has never gotten over death of her son 20 years ago. She reports that her life fell apart after that and she never again felt like herself or was able to enjoy life. What type of grief is this woman experiencing? |
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Definition
| Complicated (dysfunctional grief) |
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Term
| A home health nurse has been visiting a patient with AIDS who says, "I'm no longer afraid of dying. I think I've made my peace with everyone, and I'm actually ready to move on." this reflects his progress to which stage of death and dying? |
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Definition
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Term
| A nurse is visiting a patient with AIDS who is dying at home. During the visit, he breaks down and cries and tells the nurse that it is unfair that he should have to die now when he's finally made peace with his family and wants to live. What is an appropriate way for the nurse to respond? |
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Definition
| "It does seem unfair. Tell me more about how you are feeling." |
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Term
| A nurse is caring for a terminally ill patient during the 11pm to 7am shift. The patient says, "I just can't sleep. I keep thinking about what my family will do when I am gone." What response by the nurse would be appropriate? |
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Definition
| "What seems to be concerning you the most?" |
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Term
| A patient tells a nurse that he has no one he trusts to make healthcare decisions for him should he become incapacitated. What should the nurse suggest? |
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Definition
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Term
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Definition
| a document whose precise purpose is to allow individuals to record specific instructions about the type of healthcare they would like to receive in particular end-of-life situations. |
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Term
| What response by a nurse would best reflect adherence to the position of the American Nurses Association? |
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Definition
| A nurse promises a dying patient that he/she will do everything possible to keep the patient comfortable but that he/she cannot administer an injection or overdose to cause the patient's death. |
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Term
| A patient diagnosed with breast cancer who is not in the end stages of her illness has been in the medical intensive care unit for 3 weeks. Her husband tells the nurse caring for the patient that he and his wife often talk about the end of her life and that she was very clear about not wanting aggressive treatment that would merely prolong her dying. The nurse and husband both agree that this seems to be all that therapy is now doing for her. the nurse would suggest that the husband speak to his wife's physician about which type of order? |
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Definition
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Term
| Why would it be inapproriate for a nurse to tell a family that their loved one will pass immediately after the ventilator is removed? |
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Definition
| Because the patient could breath on their own for days and rarely for weeks. |
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Term
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Definition
| chronic fatigue and decreased energy, guilt about negleting person in need of care, shortness of tempter with one another, and apprehension about continued ability to go on this way. |
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Term
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Definition
| occurs when a valued person, object, or situation is changed or inaccessible so that it's value is diminished or removed |
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Term
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Definition
| los of limb, of child, of valued objects, job |
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Term
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Definition
| youth, financial independence, valued environment |
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Term
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Definition
| occurs when a person displays loss and grief behaviors for a loss that has yet to take place. exp when someone has a life threatening illness |
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Term
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Definition
| is an internal emotional reaction to loss. |
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Term
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Definition
| is the actions and expressions of that grief, including the symbols and ceremonies (funerals). |
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Term
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Definition
shock and disbelief
developing awareness
restitution
resolving the loss
idealization
outcome |
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Term
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Definition
| abnormal or distorted. May be unresolved or inhibited. Suppresses feelings of grief and may instead manifest somatic (body) symptoms, abdominal pain or heart palpation |
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Term
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Definition
| taking care of the whole person - body, mind, and spirit, heart and soult. View dying as something natural and personal. The goal is to give patients with life-threatening illnesses the best quality of life they can have by aggressive management of symptoms. Maintain dignity, prevent isolation, provide comfortable environment, support family |
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Term
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Definition
| for people with limited life expectancy, often in the home. |
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Term
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Definition
| allows individuals to state in advance what their choices would be for healthcare. Exp: Living wills, and durable power of attorney. |
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Term
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Definition
| No attempts are to be made to resuscitate a patient who stops breathing or who's heart stops beating. |
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Term
| Comfort-measures-only order |
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Definition
| indicates that the goal of treatment is comfortable, dignified death and that further life-sustaining measures are longer indicated. |
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Term
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Definition
| taking specific steps to cause a patients death |
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Term
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Definition
| withdrawing medical treatment with the intention of causing the patient's death (doing something to end life). |
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