Exam (elaborations)
Maryville NURS663 Exam 2 (SU22) – Qs And As
Maryville NURS663 Exam 2 (SU22) – Qs And As
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Maryville NURS663 Exam 2 (SU22) – Qs And AsPhases of Grief ✔️Ans - · 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 ✔️Ans - · 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 ✔️Ans - 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 ✔️Ans - 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 ✔️Ans - 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 ✔️Ans - 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
Normal signs of aging and memory performance ✔️Ans - o Everything
tends to slow down as we age
o Erikson: integrity vs despair. Central conflict is coping, maintaining self-
esteem, reconciliation.
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