NSG 3130 Exam 3
Why is grief a difficult topic for patients It is emotional and subjective; there is no single 'right' way to grieve; nurses must
and nurses to discuss? avoid judgment; influenced by culture, relationships, life stage, and coping
styles.
Why is self-awareness important when Helps maintain professional presence, prevents projecting personal emotions,
caring for grieving patients or families? encourages empathetic communication.
What is anticipatory grieving and when Begins before the actual loss, affects both patients and family members,
does it occur? involves grieving the loss before death.
How should nurses care for terminally ill Treat the patient and family as a unit, focus on symptom management, ensure
patients and their families during comfort, preserve dignity, be present and compassionate.
anticipatory grieving?
How should nurses handle anger Recognize it's not personal; stay calm and empathetic; offer clear explanations;
or frustration from family members respond with empathy and patience.
during end-of-life care?
What are the five stages of grief according Denial, Anger, Bargaining, Depression, Acceptance; stages are not sequential.
to Kübler-Ross?
What characterizes the denial stage of Person refuses to accept the diagnosis; may seek multiple opinions; defense
grief? mechanism to buffer shock; nurses must be supportive.
How do patients express anger during Patients may express anger verbally or physically; nurses should stay calm, ensure
grief, and how should nurses respond? safety, and offer coping strategies.
What behaviors occur during the Patient tries to negotiate for more time or a different outcome; nursing interventions
bargaining stage? include listening and avoiding giving advice.
What occurs during the depression stage Patient acknowledges reality of death; nurses should avoid false reassurance and
of grief, and how should nurses respond? offer presence and empathy.
What characterizes the acceptance stage Patient comes to terms with death; may become quiet and reflective; nurses should
of grief? respect the need for quiet.
How can nurses use the Kübler-Ross Helps identify emotional needs at each stage; guides communication and
model in patient care? interventions; promotes empathy and individualized care.
, What does 'the art of presence' mean Being fully attentive and emotionally available; communicating empathy
in end-of-life care? without words.
What is the overall goal for nurses during Provide nonjudgmental, compassionate care; maintain dignity and comfort; support
grief and loss care? both physical and emotional needs.
What is the difference between grief, loss, Grief: emotional response to loss; Loss: change in valued person or situation;
and bereavement? Bereavement: state of having experienced a loss through death.
What are the four main types of loss? Actual loss, Perceived loss, Anticipatory loss, Situational loss.
What are the types of grief? Normal, anticipatory, disenfranchised, complicated.
What is dysfunctional grief? Grief that lasts longer than expected and disrupts functioning.
Intense yearning or anger, denial of death, inability to perform daily activities,
What are signs of dysfunctional grief?
substance use or depression.
What are the types of dysfunctional grief? Chronic, delayed, exaggerated, masked.
Developmental stage, significance of loss, culture and spirituality,
What factors affect the grieving process?
socioeconomic status, support systems, cause of death.
What should be included in a nurse's Meaning of loss, coping style, physical symptoms, emotional state, spiritual beliefs,
assessment of grief and loss? grieving stage.
What are common nursing diagnoses Grieving, complicated grieving, risk for loneliness, spiritual distress, hopelessness,
related to grief and loss? powerlessness, readiness for enhanced spiritual well-being.
What are desired outcomes when planning Patient expresses feelings of loss, identifies support systems, develops realistic plans,
care for a grieving client? finds meaning or acceptance.
What are key nursing interventions for Encourage expression of feelings, use therapeutic communication, offer presence
patients experiencing grief? and silence, support spiritual needs, promote self-care.
How can the nurse evaluate the Patient verbalizes acceptance of loss, resumes normal activities, identifies new
effectiveness of grief interventions? goals, uses support resources.
How does caring for dying patients affect Nurses may experience compassion fatigue or grief; self-care and debriefing are
nurses? important.
What are the nurse's responsibilities Recognize potential donors, collaborate with family, provide support, respect ethical
in potential organ donation? considerations.
Why are cultural and spiritual beliefs They influence mourning rituals, decision-making, and expression of emotions.
important in grief care?
What is the difference between palliative Palliative focuses on comfort for any illness; hospice is end-of-life care when
and hospice care? treatment is no longer curative.
What are examples of therapeutic Active listening, silence, touch, reflection, open-ended questions, avoid clichés.
communication techniques for grieving
patients?
What are the nurse's top priorities when Manage pain, maintain dignity, support emotional needs, facilitate a peaceful
caring for a dying patient? environment.
What is stress in the nursing context? A nonspecific response of the body to any demand made upon it.
How does stress relate to homeostasis? Stressors disrupt balance, triggering adaptive responses to restore equilibrium.
What systems are involved in Central Nervous System, Autonomic Nervous System, Endocrine System.
the physiologic stress
response?
What are the three stages of Selye's Alarm Reaction, Resistance Stage, Exhaustion Stage.
General Adaptation Syndrome?
What are the major types of stress? Acute, chronic, developmental, situational, psychosocial.
Why is grief a difficult topic for patients It is emotional and subjective; there is no single 'right' way to grieve; nurses must
and nurses to discuss? avoid judgment; influenced by culture, relationships, life stage, and coping
styles.
Why is self-awareness important when Helps maintain professional presence, prevents projecting personal emotions,
caring for grieving patients or families? encourages empathetic communication.
What is anticipatory grieving and when Begins before the actual loss, affects both patients and family members,
does it occur? involves grieving the loss before death.
How should nurses care for terminally ill Treat the patient and family as a unit, focus on symptom management, ensure
patients and their families during comfort, preserve dignity, be present and compassionate.
anticipatory grieving?
How should nurses handle anger Recognize it's not personal; stay calm and empathetic; offer clear explanations;
or frustration from family members respond with empathy and patience.
during end-of-life care?
What are the five stages of grief according Denial, Anger, Bargaining, Depression, Acceptance; stages are not sequential.
to Kübler-Ross?
What characterizes the denial stage of Person refuses to accept the diagnosis; may seek multiple opinions; defense
grief? mechanism to buffer shock; nurses must be supportive.
How do patients express anger during Patients may express anger verbally or physically; nurses should stay calm, ensure
grief, and how should nurses respond? safety, and offer coping strategies.
What behaviors occur during the Patient tries to negotiate for more time or a different outcome; nursing interventions
bargaining stage? include listening and avoiding giving advice.
What occurs during the depression stage Patient acknowledges reality of death; nurses should avoid false reassurance and
of grief, and how should nurses respond? offer presence and empathy.
What characterizes the acceptance stage Patient comes to terms with death; may become quiet and reflective; nurses should
of grief? respect the need for quiet.
How can nurses use the Kübler-Ross Helps identify emotional needs at each stage; guides communication and
model in patient care? interventions; promotes empathy and individualized care.
, What does 'the art of presence' mean Being fully attentive and emotionally available; communicating empathy
in end-of-life care? without words.
What is the overall goal for nurses during Provide nonjudgmental, compassionate care; maintain dignity and comfort; support
grief and loss care? both physical and emotional needs.
What is the difference between grief, loss, Grief: emotional response to loss; Loss: change in valued person or situation;
and bereavement? Bereavement: state of having experienced a loss through death.
What are the four main types of loss? Actual loss, Perceived loss, Anticipatory loss, Situational loss.
What are the types of grief? Normal, anticipatory, disenfranchised, complicated.
What is dysfunctional grief? Grief that lasts longer than expected and disrupts functioning.
Intense yearning or anger, denial of death, inability to perform daily activities,
What are signs of dysfunctional grief?
substance use or depression.
What are the types of dysfunctional grief? Chronic, delayed, exaggerated, masked.
Developmental stage, significance of loss, culture and spirituality,
What factors affect the grieving process?
socioeconomic status, support systems, cause of death.
What should be included in a nurse's Meaning of loss, coping style, physical symptoms, emotional state, spiritual beliefs,
assessment of grief and loss? grieving stage.
What are common nursing diagnoses Grieving, complicated grieving, risk for loneliness, spiritual distress, hopelessness,
related to grief and loss? powerlessness, readiness for enhanced spiritual well-being.
What are desired outcomes when planning Patient expresses feelings of loss, identifies support systems, develops realistic plans,
care for a grieving client? finds meaning or acceptance.
What are key nursing interventions for Encourage expression of feelings, use therapeutic communication, offer presence
patients experiencing grief? and silence, support spiritual needs, promote self-care.
How can the nurse evaluate the Patient verbalizes acceptance of loss, resumes normal activities, identifies new
effectiveness of grief interventions? goals, uses support resources.
How does caring for dying patients affect Nurses may experience compassion fatigue or grief; self-care and debriefing are
nurses? important.
What are the nurse's responsibilities Recognize potential donors, collaborate with family, provide support, respect ethical
in potential organ donation? considerations.
Why are cultural and spiritual beliefs They influence mourning rituals, decision-making, and expression of emotions.
important in grief care?
What is the difference between palliative Palliative focuses on comfort for any illness; hospice is end-of-life care when
and hospice care? treatment is no longer curative.
What are examples of therapeutic Active listening, silence, touch, reflection, open-ended questions, avoid clichés.
communication techniques for grieving
patients?
What are the nurse's top priorities when Manage pain, maintain dignity, support emotional needs, facilitate a peaceful
caring for a dying patient? environment.
What is stress in the nursing context? A nonspecific response of the body to any demand made upon it.
How does stress relate to homeostasis? Stressors disrupt balance, triggering adaptive responses to restore equilibrium.
What systems are involved in Central Nervous System, Autonomic Nervous System, Endocrine System.
the physiologic stress
response?
What are the three stages of Selye's Alarm Reaction, Resistance Stage, Exhaustion Stage.
General Adaptation Syndrome?
What are the major types of stress? Acute, chronic, developmental, situational, psychosocial.
