Summary

Summary NSG 221 Exam 2 Study Guide

0 purchase

Course
NSG 221

Institution
Herzing University

This is a comprehensive and detailed study guide on Exam 2 for Nsg 221. An Essential Study Resource just for YOU! Why wait? When you can study smarter and not harder to ace that exam!! It's all Yours!!

[Show more]

Preview 3 out of 17 pages

View example

Uploaded on February 20, 2025
Number of pages 17
Written in 2020/2021
Type Summary

nsg 221
class notes
summer
winter
spring
stuvia
exam 2 study guide
study
guide
mental health nursing
wisconsin
milwaukee
lecture notes

anyiamgeorge19 Member since 1 year 41 documents sold

$14.89

Add to cart

Save

100% satisfaction guarantee
Immediately available after payment
Both online and in PDF
No strings attached

Week 4 Grief & loss

Loss of security and sense of belonging
 Thelossofalovedoneaffectstheneedtoloveandthefeelingofbeingloved.

Physiologic loss

 Examplesincludeamputationofalimb,amastectomyorhysterectomy,orlossof
mobility.
Loss related to self-actualization.

 Anexternalorinternalcrisisthatblocksorinhibitsstrivingtowardfulfillmentmay
threatenpersonalgoals&individualpotential.

Safety loss

 Lossofasafeenvironmentisevidentindomesticviolence,childabuse,orpublic
violence.

Grief/Bereavement
 Processbywhichapersonexperiencesgrief.

Anticipatory grieving
 Beginningtodealwithpossibilityoflossordeathsoon.

Mourning
 Outwardexpressionsofgriefincludinghavingawake,holdingreligious
ceremony.
John Bowlby phases of grieving
 Numbness&denialofloss
 Emotionalyearningforlovedone&protestingpermanenceoflove.
 Cognitivedisorganization&emotionaldespairwithdifficultyfunctioning
 Reorganization&reintegration
George Engel
 Shockanddisbelief(:initialreactionisastunned,numbfeelingaccompaniedby
therefusaltoacknowledgetherealityoftheloss)
 Developingawareness:(aspeopleacknowledgetheloss,theremaybecrying,
feelingsofhelplessness,frustrationetc.directedatself,others,God,orthe
deceasedperson)
 Restitutions(funeral,familygatherings)
 Resolutionsofloss:(thelostpersonisidealized,andthemournermayimitate
theperson)
 Recovery(personcangoonwithlifeinawaythatencompassestheloss)

, Elizabeth Kubler Ross
 Denial:shockanddisbeliefregardingtheloss
 Anger:canbeshowntowardshealthcareprovider,Family,friends,or
God/HigherPower/Being
 Bargaining:askingorpleadingformoretime
 Depression:awarenessofthelossbecomesacute
 Acceptance:personshowsevidenceofcomingtotermswithdeath

Mardi Horowitz

 Outcry:firstrealizationoflossoccurs,(Maybeexpressedbyyelling,screaming,
cryingorcollapse.)
 Denialandintrusion:duringdenial,personbecomesinvolvedinactivities,soshe
isnotthinkingabouttheloss;duringintrusion,thelossisallthatthepersonthinks
aboutduringeverywakingmoment.
 Workingthrough:personstillthinksaboutthelossbutfindsnewwaysof
managinglifeafterloss.
 Completion:lifebeginstofeelnormalagain,thoughlifeisdifferentafterthe
loss
Tasks of Grieving
Rando’s six R’s

 Recognize:understandingthelossisreal
 React:emotionalresponsetoloss
 Recollect:memoriesarereviewedandrelived
 Relinquish:acceptingthattheworldhaschangedandthereisnoturningback
 Readjust:beginningtoreturntodailylife–thelossfeelslessacuteor
overwhelming
 Reinvest:acceptingthatchangeshaveoccurred

Wardens’ tasks

 Acceptrealityofloss
 Workthroughpainofgrief
 Adjusttochangedenvironmentduetoloss.
 Emotionallyrelocateloss&moveon
Dimensions of grieving

 Cognitiveresponses:questioningmayhelpthepersontoaccepttherealityof
whysomeonedied;involvesthebeliefintheafterlife.

 Emotionalresponses:majoremotionsincludeanger,sadness,andanxiety.
 Spiritualresponses:associatedwiththecognitiveandemotionaldimensionsare
thepersonalvaluesthatgivemeaningandpurposetolife.(Disillusionedandangry

, withGod,Anguishofabandonmentorperceivedabandonment,Hopelessness,
meaninglessness)

 Behavioralresponse:cryinguncontrollably,self-medicatingwithETOH/drugs,
hoardingbelong7ings.(Seekingandavoidingplacesandactivitiessharedwithlost
one,keepingvaluablesoflostonewhilewantingtodiscardthem,Possiblyabusing
drugsoralcohol,Possiblesuicidalorhomicidalgesturesorattempts,Seekingactivity
andpersonalreflectionduringphaseofreorganization)

 Physiological(physicalsx):insomnia,sleepdisturbances(mostfreqand
persistent),HA,decreasedappetiteandweightloss,anergia,palpitations<
indigestion,changeinimmuneandendocrinesystem.

Cultural considerations:
 Acculturation:alteringculturalvaluesorbehaviorstoadapttoanotherculture
 AfricanAmericans:deceasedviewedinchurchbeforeburialincemetery;public
prayers,blackclothing,decreasedsocialactivities.
 MuslimAmericans:Islam does not allow for cremation of a body.fivestepsof
burialprocedure,includingwashing,dressing,andpositioningofthebody,firststep
involvestraditionalwashingofthebodybyaMuslimofthesamegender.
 HaitianAmericans:practicevodun(voodoo)“RootMedicine”,Vodun:the
practiceofcallingonagroupofspiritswithwhomoneperiodicallymakespeace
duringspecificeventsinlife–deathisoneofthoseevents.
 ChineseAmericans:strictnormsforannouncingdeath,preparingbody,
arrangingfuneralandburial,mourningafterburial.(Bowlsoffoodontableforspirit
for1yearafterdeath,burningincense&readingscripturearewaystohelpthe
deceasedintheirafterlifejourney,IfthedeceasedorfamilyisBuddhist,meditating
beforeashrineintheroomisimportant)
 JapaneseAmericans:viewdeathaslifepassage;bathethedeceasedwithwarm
water;dressbodyinwhitekimonoafterpurificationrites.
 FilipinoAmericans:areCatholicandwearingblackclothingorarmbandsis
customary;wreathsoncasket;blackclothonhomeofdeceased.
 VietnameseAmericans:arepredominantlyBuddhists.Bathedeceasedand
dressedhimorherinblackclothing,mayputriceindeceased’smouthandplace
moneywithdeceasedsoheorshecanbuyadrinkasthespiritmovesoninthe
afterlife,Willdisplaythebodyforviewinginhomebeforeburial,musicisplayedto
warndeceasedoffriends’arrival.
 HispanicAmericans:arepredominantlyRomanCatholic,theyprayforthesoulof
thedeceasedduringthenovena(9-daydevotion)androsary,theywearblackor
blackandwhitewhilebehavinginsubduedmanner.
 NativeAmericans:manyareChristiansnoweventhoughancientbeliefsand
traditionsinfluencethetribes,tribalmedicinemanorpriestlyhealerhelpsfamily
andfriendsregaintheirspiritualequilibrium,baptismceremonieshelpwardoff

The benefits of buying summaries with Stuvia:

Guaranteed quality through customer reviews

Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.

Quick and easy check-out

You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.

Focus on what matters

Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!

Frequently asked questions

What do I get when I buy this document?

You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.

Satisfaction guarantee: how does it work?

Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.

Who am I buying these notes from?

Stuvia is a marketplace, so you are not buying this document from us, but from seller anyiamgeorge19. Stuvia facilitates payment to the seller.

Will I be stuck with a subscription?

No, you only buy these notes for $14.89. You're not tied to anything after your purchase.

Can Stuvia be trusted?

4.6 stars on Google & Trustpilot (+1000 reviews)

70113 documents were sold in the last 30 days

Founded in 2010, the go-to place to buy study notes for 15 years now

Start selling

Seller

Package deal ·

Summary

Summary NSG 221 Exam 2 Study Guide

Document information

Subjects

Written for