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Therapeutic Commications
Chapter 5 Death and Dying
19
Nursing
Professional
02/09/2012

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Cards

Term
What are the Kubler stages of loss?
Definition
Denial, anger, bargaining, depression and acceptance.
Term
What is the denial stage according to Kubler stages?
Definition
It is the reaction that commonly follows the first news of impending death or significant loss. It is a defense mechanism.
Term
What is the anger stage according to Kubler stages?
Definition
It is the unreasonable anger directed at self or others. Anger generally follows denial. Facing the harsh reality of a tremendous loss makes most people very angry. "Why Me?" stage.
Term
What is the bargaining stage according to Kubler stages?
Definition
This stage is similar to the denial stage. Has usually a religious overtone. The patient will often offer a sacrifice of sorts if his or her life is saved.
Term
What is the depression stage according to Kubler stages?
Definition
Depression occurs when a patient believes that all hope is lost. It is the actual grief from the loss.
Term
What is the acceptance stage according to Kubler stages?
Definition
Acceptance is the final stage in the emotional process. It is generally calm and demostrates a subdued interest in the world and in attending to unfinished business.
Term
What is body image?
Definition
It is the mental picture of self including value judgments.
Term
What is Thanatology?
Definition
It is the study of death. It encompasses religious and philosophical issues as well as practical issues.
Term
What is Negative ethanasia?
Definition
It is the tacit noninterference with the process of death, for instance, leaving pneumonia untreated.
Term
What is one right to die issue?
Definition
Quality of human life should be balanced against quanity.
Term
What are five ways to help the dying as a healthcare provider?
Definition
Listen, focus through paraphasing, respond from your own gut, leave hope intact and help the family to be with the patient.
Term
What is defense mechanism?
Definition
It is the psychological means of avoiding conscious conflict.
Term
What is hospice?
Definition
It is supportive medical and home care focusing on dying with dignity; an organization that helps the dying and their families.
Term
The nurse is caring for a terminally ill client who has agreed to enter hospice care. Which of the following statements by the spouse indicates a need for further teaching by the nurse?
Definition
1."You will help to make my spouse as comfortable as possible."
2."You will help my spouse get better so we can get back to our old life."
3. "The goal is to make the end of my spouse's life as comfortable as possible."
4"You will provide me with support during this difficult time."
Term
How is it possible for a client to experience for anger and denial?
Definition
Anger can be detected to some extent in the denial stage. Like when a patient make a statement "I don't care how many doctors tell me I won't walk again!"
Term
What Kubler stage is the patient in when he/she states, "I've always gone to church and worked hard, This is so unfair. My sister never does a thing for anybody and she is healthy as a horse!"
Definition
Anger
Term
What Kubler stage is the patient in when he/she states, "I know that if I just eat more carefully this whole thing will reverse itself. No way can I be so sick at my age."
Definition
Denial with some bargaining aspects.
Term
What Kubler stage is the patient in when he/she states, "At this point I want to rewrite my will and fix up the obituary. That will make things easier for my wife."
Definition
Acceptance
Term
What kubler stage is the patient in when he/she states, "If it is God's will that I die, so be it. But I know that he wants me to see my last child through to graduation and I'm doing to do it."
Definition
Bargaining
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