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NUR 366- Final Exam Questions with Correct Answers
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NUR 366- Final Exam Questions with Correct Answers
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NUR 366- Final Exam Questions withCorrect Answers
OB- Grief - Answer-OB- Grief
Determinants of Grief
-What do they determine
-List them (6) - Answer-Determines the intensity and duration of the grief period
Mode of loss
Element of maliciousness involved
Personality
Hx of unresolved loss
Cultural influences
Social (support system)
Factors that influence the grief process - Answer-Physiologic
Behavioral
Psychologic
Social
Spiritual
Manifestations of grief examples: Physical - Answer-Headaches
Dizziness
Exhaustion
Digestive difficulties - loss or increase of appetite
Tremors
Menstrual irregularities
Muscle aches/weakness
Sleep problems
Muscle aches in arms - Answer-Moms have aches in arms cause they never had the
chance to hold their baby
Manifestations of grief - affective - Answer-Guilt
Relief
Anger
Emancipation
Sadness
Yearning
Jealousy
Positive emotions
Manifestations of grief - cognitive - Answer-Depersonalization
,Disbelief and denial
Idealization
Preoccupation with deceased (obession)
Confusion
Obsessive thinking (preventability)
Inability to concentrate
Searching for meaning
Extraordinary experiences
Manifestations of grief - spiritual - Answer-Faith struggles
Searching for meaning
Changes in spiritual behavior
Anger with God or higher-power
Manifestations of grief - behavioral - Answer-Loss of patterns of behavioral
Interpersonal changes
Crying
Withdrawal
Mania and over-activity
Avoiding reminders
Seeking reminders
Sexual dysfunction
What are some things that anticipatory grief allows you one to say? - Answer-Will you
forgive me?
I forgive you
Thank you
I love you
Goodbye
Anticipatory guidance - Answer-Being able to help grieving family members
*Nurses must accept any grief rxns are normal and necessary* --> helps normalize
Grief is ______ - Answer-Unique for each person
Bereavement care is _____ - Answer-Bereavement care is collaborative
What are the phases of bereavement? - Answer-Shock and numbness
Searching and yearning
Disorientation
Reorganization
SSDR
*Like epidural that wears off*
When is the first phase of bereavement most intense? - Answer-First 2 weeks
, *Nursing intervention is most effective if initiated in this phase
Phase I: Shock and numbness - Answer-Attention span short
Concentration difficult
Stunned, disbelief
Don't know how to act or feel
Emotional outbursts
May fear hysteria
Anxious/resistant to stimuli
Time confusion
Phase I: Shock and numbness
-What can a nurse do? - Answer--*Listen; allow to express feelings*
-Provide a quiet, private place
-Create memories/mementos/memory box
-Impressions
-Locks of hair
-Photographs
-Be available
-Grief education
-Touch appropriately
-Sympathy card
True or False: Parents are incapable of making decisions during the bereavement
process because of their emotional state - Answer-FALSE: Parents have the last say
and making the decisions → do not assume they are uncapable because of their
emotional status
What can/should you say to bereaving family? - Answer-"I'm sad for you." or "I'm sorry."
"How are you doing with all of this?"
"This must be so hard for you."
"I'm here for you and I want to listen."
What DONT you say to a bereaving family? - Answer-Don't say
"This happen for the best"
"This is God's will"
"At least you/they had a long life"
"Better for this to happen now..."
Don't
tell your story or someone else's story
quote scripture
Phase II: Searching and yearning
-What surfaces at this phase? - Answer-Anger surfaces --> "epidural is wearing off"
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