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NSG Exam 4 Question and answers correctly solved

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NSG Exam 4 Question and answers correctly solved NSG Exam 4- ALL loss - correct 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/maturationa...

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  • October 31, 2024
  • 56
  • 2024/2025
  • Exam (elaborations)
  • Questions & answers

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  • nsg exam 4
  • nsg exam 4 question and answers correctly solved

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NSG Exam 4- ALL
loss - correct 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


actual loss - correct answer ✔recognizable to the person experiencing the
loss, as well as, other people. Ex. Death


perceived loss - correct answer ✔recognizable to the person experiencing
the loss but not to others. Ex. older person with loss of independence


anticipatory loss - correct 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)


necessary loss - correct answer ✔related to changes in the life cycle that can
be anticipated.


developmental/maturational - correct answer ✔normal and expected, results
from the normal life transitions in the developmental process of life, and
results in the development of coping skills


situational loss - correct answer ✔unanticipated and caused by an external
event. Ex. car wreck


grief - correct answer ✔- an internal emotional reaction to loss

,- types: normal/uncomplicated, dysfunctional/complicated, anticipatory, and
disenfranchised


mourning - correct answer ✔the act of grieving and expressing grief


bereavement - correct answer ✔a state of grieving due to loss of a loved one


normal/uncomplicated grief - correct 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


dysfunctional/complicated grief - correct 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


anticipatory grief - correct answer ✔the process of starting to "let go" of
someone or something before the loss actually occurs


disenfranchised grief - correct 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)

,Kübler-Ross' Theory of Grief - correct 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


palliative care - correct 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


hospice - correct 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


advance care planning - correct answer ✔planning for care in the future at
times when the client is unable to make his/her own decisions

, advance directives - correct answer ✔legal documents giving direction for
situations at end of life


health care proxy - correct 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


living will - correct answer ✔gives the client's wishes for medical treatment


POLST - correct answer ✔- physician's orders for life sustaining treatment
- document with medical orders indicating patient wishes regarding commonly
used treatments in medical crises


health care surrogate - correct 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


do not resuscitate (DNR) - correct answer ✔- may be called No Code, No
CPR, or Allow Natural Death (AND)

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