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NSG Exam 4- ALL Download to pass!!!!
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NSG Exam 4- ALL Download to pass!!!!QUIZ :loss - ANSWER :- when someone or something of value experiences
change or is no longer accessible resulting in diminishing or removing of its
value
- Actual, perceived, anticipatory, necessary, developmental/maturational, and
situational
QUIZ :actual loss - ANSWER :recognizable to the person experiencing the loss,
as well as, other people. Ex. Death
QUIZ :perceived loss - ANSWER :recognizable to the person experiencing the
loss but not to others. Ex. older person with loss of independence
QUIZ :anticipatory loss - ANSWER :when a person experiences a reaction to a
loss that has not occurred yet. Ex. terminal news (grieve a loss that hasnt
happened yet)
QUIZ :necessary loss - ANSWER :related to changes in the life cycle that can be
anticipated.
QUIZ :developmental/maturational - ANSWER :normal and expected, results
from the normal life transitions in the developmental process of life, and
results in the development of coping skills
QUIZ :situational loss - ANSWER :unanticipated and caused by an external
event. Ex. car wreck
QUIZ :grief - ANSWER :- an internal emotional reaction to loss
- types: normal/uncomplicated, dysfunctional/complicated, anticipatory, and
disenfranchised
QUIZ :mourning - ANSWER :the act of grieving and expressing grief
QUIZ :bereavement - ANSWER :a state of grieving due to loss of a loved one
QUIZ :normal/uncomplicated grief - ANSWER :- may show negative emotions,
such as hopelessness, withdrawal, anger, resentment, and guilt
- over time, negative emotions will change to acceptance with some
acceptance being evident by 6 months following the loss
,- may demonstrate physical complaints, such as fatigue, change in sleeping
patterns, chest pain, palpitations, nausea and headaches
QUIZ :dysfunctional/complicated grief - ANSWER :- also called unresolved
grief
- difficult progression through the usual grief stages
- usually prolonged grieving
- may result in decreased self esteem, intense guilt, and suicidal ideation
- physical complaints may continue for an extended time
QUIZ :anticipatory grief - ANSWER :the process of starting to "let go" of
someone or something before the loss actually occurs
QUIZ :disenfranchised grief - ANSWER :grief for a loss that may not be
considered socially acceptable or cannot be shared publicly (Ex. someone dying
from overdose, do not want to share due to societal views on this)
QUIZ :Kübler-Ross' Theory of Grief - ANSWER :- denial: difficult accepting the
reality of a diagnosis, death or loss. "I'm fine", "I cant believe they are gone"
- anger: expression of rage and hostility. Ex. blaming god
- bargaining: an attempt to negotiate for a cure or more time. Ex trying to
bargain with god
- depression: a period of grief
- acceptance: the reality of the diagnosis, death, or loss is accepted, and the
person feels tranquil and prepared and moves forward to prepare for the
future
QUIZ :palliative care - ANSWER :- appropriate for anyone with a chronic
disease or illness regardless of disease stage
- interventions focus on the relief of physical, emotional, spiritual, and
psychosocial aspects of the disease
- provided by an interdisciplinary team
- goal is to aggressively manage symptoms in clients with life-threatening
illnesses to provide the best quality of life possible
QUIZ :hospice - ANSWER :- comprehensive care provided in various settings,
often the home
- indicated when a client's life expectancy is 6 months or less
- focus of treatment is shifted from a cure to quality of life and support for the
client as they approach death
,- indications for referral may include: comorbidities, poor performance status,
poor nutrition, declining cognition, previous hospital admissions, pressure
injuries, and advanced age
QUIZ :advance care planning - ANSWER :planning for care in the future at
times when the client is unable to make his/her own decisions
QUIZ :advance directives - ANSWER :legal documents giving direction for
situations at end of life
QUIZ :health care proxy - ANSWER :also called a durable power of attorney for
healthcare; appoints a medical decision maker for times when the client is
unable to make his/her own decisions
QUIZ :living will - ANSWER :gives the client's wishes for medical treatment
QUIZ :POLST - ANSWER :- physician's orders for life sustaining treatment
- document with medical orders indicating patient wishes regarding commonly
used treatments in medical crises
QUIZ :health care surrogate - ANSWER :- medical decision maker not chosen
by the patient (MPOA or durable power of attorney for healthcare are chosen
by the pt has decision making capacity)
- designated by hospital social worker when a patient is unable to make his/her
own decisions and a previously completed medical power of attorney
document is not available
- signed by a healthcare provider
- form follows the law and attempts to name the person who is closest to the
pt and knows the pt's wishes the best as their medical decision maker
- forms vary by facility
QUIZ :do not resuscitate (DNR) - ANSWER :- may be called No Code, No CPR,
or Allow Natural Death (AND)
QUIZ :Comfort Measures Only - ANSWER :- goal of treatment is allowing the
patient to die in a comfortable and dignified way as there is no longer an
indication for further life-sustaining treatment
- these DO NOT mean "do nothing" and should not be presented to patients
and families as such. It is a transition from aggressive curative treatment to
aggressive sx management
, QUIZ :end of life care orders - ANSWER :- DNR, DNI, Comfort Measures Only,
terminal weaning
- orders not to use certain other life-sustaining treatments may also be present
based on healthcare provider discussion with the client regarding their wishes,
such as ventilator support, dialysis, artificial hydration and nutrition, blood
transfusions, medications- such as antibiotics and/or surgery
QUIZ :terminal weaning - ANSWER :mechanical ventilation is gradually
withdrawn from a client with a terminal illness or condition that is not
reversible and a poor prognosis
QUIZ :pain management at the end of life - ANSWER :- pain meds often
opioids such as morphine
- repositioning
- hygiene care
- relaxation techniques
- therapeutic touch
- comfortable clothing
- comforting possessions
QUIZ :dyspnea management at end of life - ANSWER :- opioid pain meds such
as morphine
- positioning the pt in semi-fowlers
- relaxation techniques
- supplemental oxygen therapy
QUIZ :excess oral secretion management at end of life - ANSWER :- semi-
fowlers or semi prone positioning
- anticholinergic medications
- suctioning
QUIZ :nausea/vomiting management at end of life - ANSWER :- administer
anti-emetics
QUIZ :restlessness management at end of life - ANSWER :- pain medications
- anxiolytics
- relaxation techniques
- therapeutic touch
- promotion of decision-making
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