NURS 2030 Exam 4 Questions And Correct Answers
Loss of possessions/objects
theft, deterioration, misplacement, destruction
-grieving depends on value, sentiment, or usefulness
Loss of familiar environment
leaving home, hospitalization, new job, moving out of rehab
-injury or illness
-loneliness, uncertainty, unfamiliarity
-threatens self-esteem, hopefulness, belonging
Loss of a significant other
divorce, loss of friend, trusted caregiver, pet
-meets psychological, safety, love, belonging, self-esteem needs
Loss of a part of one's self
body part, job, psychological or physiological function
-illness, injury, developmental changes
loss of value, altered personal identity or self-concept
Loss of life
death of family member, friend, co-worker, or self
-mourn loss of loved one
-sorrow, frightening pain, loss of control, dependence
Necessary loss
loss that occurs as a result of the developmental maturation processes in our lives
Maturational loss
,a type of necessary loss including all the normal expected life transitions across the
lifespan
-Ex. toddler experiences separation anxiety when entering preschool
Situational loss
unexpected, sudden external events
-Ex. car accident resulting in serious injury
Actual loss
a person can no longer feel, hear, see, or know a person or object
-Ex. loss of body part, death of family member, loss of job
Perceived loss
uniquely defined by the person experiencing the loss and is less obvious to other people
-Ex. rejection by a friend, loss of confidence or social status
Grief
a personal reaction to a loss that one has received, actual, or expected to occur for that
individual experiencing loss
How does one experience grief?
psychologically, cognitively, bodily, socially and spiritually
Grief is NOT a condition but a ______.
process
Mourning
,the ways an individual publicly displays grief and the behaviors enacted to deal with
grief
-cultural and learned behaviors
Shivah
Jewish mourning ritual; a time period in which normal life activities stop
Bereavement
bereavementthe period of time when a person mourns the loss of a loved one via death
How can the nurse provide support for the person who is bereaved?
-listen and let them talk about loss and feelings of sorrow
-reassure their feelings as normal
-encourage them not to make major decisions-normal-uncomplicated grief
Common universal reaction characterized by emotional, cognitive, social, physical
behavioral, and spiritual responses to loss and death-normal feelings of sorrow:
shock, longing anger, and depression-anticipatory sorrow
grief that occurs prior to a loss or death
care-takers, family caregivers, nurses
Feelings of anticipatory grief:
loss of companionship, control, sense of freedom
shock, denial, tearfulness
stress, emotional highs & lows
Disenfranchised grief
cultural norms or social constraint inhibit some people from openly mourning
-Ex. former spouse, health care worker, homicide, suicide, terminated pregnancy
Ambiguous loss
a form of disenfranchised grief when the person who is lost is present in one's life
, physically, but is not psychosocially available; or person is gone
-Ex. severe dementia, brain injury, kidnapping, "missing", transgender
Complicated grief
a prolonged or significantly difficult time moving forward after a loss
-symptoms of painful emotions and sorrow for more than 1 year
-affects normal functioning and quality of life
Feelings of complicated grief:
-chronic and disruptive yearning
-trouble accepting death and trusting others
-excessively bitter, emotionally numb, anxious
-inner emptiness, no interest in life
-poor sleep
-stress, mental health issues, lack of social support
Types of Complicated Grief:
-Chronic
-Delayed
-Exaggerated
-Masked
Chronic grief
a normal grief response, except it extends for a longer period of time
Exaggerated grief