Help
Options
Didn't know it?
click below
click below
Knew it?
click below
click below
Don't Know
Remaining cards (0)
Know
retry
shuffle
restart
0:00
Embed Code - If you would like this activity on your web page, copy the script below and paste it into your web page.
Normal Size Small Size show me how
Normal Size Small Size show me how
OLOL~Grief&Loss
N140 OLOL Psych ~ Grief & Loss/Suicide
| Question | Answer |
|---|---|
| Grief | subjective emotions & affect that are a normal response to the experience of loss. |
| Mourning | an outward expression of grief. |
| Maslow's 5 examples of losses related to specific human needs. | 1)Physiologic loss(air exchange);2)Safety loss(domestic violence);3)Loss of security&a sense of belonging(divorce);4)Loss of self-esteem(role function);5)Loss related to self-actualization(loss of job/miscarriage) |
| Denial | Stage 1 of Grieving process;includes shock, disbelief; it is a defense mechanism&is protective; (ex."I didn't understand what the doctor was even saying.") |
| Anger | Stage 2 of Grieving process;includes depression, longing for the loved one, protesting the permanence of the loss,obsessive reviewing of the loss(discourage),guilt, lack of concentration,sleep disturbances, appetite changes,fatigue,&general discomfort. |
| Bargaining | Stage 3 of Grieving process includes cognitive disorganization; difficulty functioning; confiding in others to emote&to cognitively restructure the loss; adapting to the loss; wide variances in emotion&behavior.(privately with God)(ex."I thought by now I |
| Acceptance | Stage 4 of Grieving process includes cognitive reorganization;reintegrating sense of self; healing, integrating the loss; acute anguish dissipated.(ex. looks back on the loss as a time of personal growth;reaches out to others who grieve.") |
| Acute stages of grieving may last between ... | 1 to 2 years. |
| Extreme anger or guilt may be associated with what? | death resulting from suicide or murder. |
| Which stage of grieving is the client experiencing based on the following statement? “I have a strong need to be with him.” | Anger |
| Which stage of grieving is the client experiencing based on the following statement? “I just get mad to easily at everyone.” | Anger. |
| Which stage of grieving is the client experiencing based on the following statement? “I’ve lost my appetite, and I just can’t seem to get to sleep at night.” | Anger |
| Which stage of grieving is the client experiencing based on the following statement? “I hope I can help Mary through her divorce. I know how hard it can be.” | Acceptance. |
| Which stage of grieving is the client experiencing based on the following statement? “I thought a priest would understand my need for support at this time. Why didn't he ask me how I was feeling when I told him my husband was having surgery?" | Bargaining: confiding in others to emote & to cognitively restructure the loss. |
| Complicated Grief | May result in social isolation,frequent thoughts of death,sense of worthlessness,extreme slowing of psychomotor functions,prolonged & marked functional impairment,psychomatic illness for extended periods,extreme hostility, & "wooden" or formal conduct. |
| Complicated Grief | Activity detrimental to social or economic well-being (Substance abuse/Gambling); very manic or depressive episodes; failure to acknowledge the loss. |
| When a nurse is observing a client's responses regarding grieving, they should assess three specific areas. List. | Adequate perception regarding the loss; Adequate support while grieving for the loss; Adequate coping behaviors during the grieving process. |
| Adequate perception regarding the loss | determining how the loss will affect the person,how the person feels about the loss(spontaneous miscarriage vs.elected abortion)&what the person needs to know(anticipatory loss).“The doctor was just here.What’s your understanding of what he said?" |
| Adequate support while grieving for the loss | The nurse should help the person identify his/her support systems, those who can provide love and security during the grieving period.“Mrs. Jones, who in your life would really want to know what you’ve just been told?” |
| Adequate coping behaviors during the grieving process | This is best assessed by observing the person’s behavior, remembering that behavior will be different with each individual. |
| Identify community support for persons who are grieving. | Clergy; Support groups; Counseling services. |
| What physiologic responses do persons experiencing grieving most commonly complain of? | insomnia, headaches, impaired appetite, weight loss, lack of energy, palpitations, and indigestion. Impaired immune and endocrine system effects may also occur. |
| Sleep disturbances | The most common & persistent symptom associated with bereavement. |
| Spiritual values&beliefs strongly affect a person’s responses to loss.A person may be comforted, challenged, or devastated spiritually during a time of loss.The nurse's role includes: | ministering to the spiritual needs of a patient. |
| Risk factors for Complicated Grieving | Low self-esteem; Distrust of others; Psychiatric disorder; Previous suicide attempt or threats; Absent or unhelpful family members. |
| Disenfranchised Grieving | A relationship that has no legitimacy. The loss itself is not recognized. The griever is not recognized. |
| Cultural Responses to Grieving: African Americans | singing, dances, a mourning period. (Jazz funeral) |
| Cultural Responses to Grieving: Muslim Americans | specific steps of burial procedure. (washing, dressing, positioning of the body) |
| Cultural Responses to Grieving: Vietnamese Americans | usually Buddhists - bathe deceased & dress them in black. May put rice in mouth or money with deceased to buy a drink as the spirit moves them to the afterlife. |
| Cultural Responses to Grieving: Hispanic Americans | pray during novena, rosary, time of mourning & wearing black. |
| Tools for Therapeutic Interventions include: | using simple, nonjudgmental statements to acknowledge loss:"I want you to know that I'm thinking of you."; Refer to the loved one or object of loss by name; Words are not always necessary, touch or being there is important. |
| When you assess a potentially suicidal patient you want to look at what? | Risk factors; Warning signs; & the Patient's intent. |
| A previous suicide attempt. | A most significant risk factor for suicide. |
| Factors that increase risk for suicide include: | Patient w/ a hx of depression, substance abuse, organic brain disease, or serious medical problems. |
| Warning signs of a suicidal patient include: | giving away possessions; After being depressed, the patient becomes happy.They are no longer debating, no more conflict of choices. |
| When assessing a patient's intent to commit suicide, ask what? | "Do you think about hurting yourself?"; If patient responds affirmatively, ask if they have a plan.The more lethal the method identified,the more serious the intent.Determine if means to kill self is available. |
| Discuss legal-ethical issues related to care of the patient with suicidal ideations. | Nurses must est a safety plan that encompasses provision of a safe&unrestrictive envir&action alternatives 2self-harm.A suicidal pt requires close monitoring when recovering from a depressive episode bc they may have gained enough energy 2carryout a plan. |
Created by:
luv*a*nurse
Popular Nursing sets