Questions and CORRECT Answers
normal grief may show negative emotions; will change to acceptance by 6 months following
loss; typical physical complaints
dysfunctional/complicated grief unresolved grief; chronic difficult progression through stages; elongated physical
complaints and possibility of depression and suicidal ideation
anticipatory grief grief before loss occurs
disenfranchised grief grief that may not be socially acceptable or cannot be shared publicly
Eliabeth Kubler-Ross' theory of grief denial, anger, bargaining, depression, acceptance
DNR do not resuscitate
AND allow natural death
DNI do not intubate
comfort measures only (CMO) goal of treatment to allow a comfortable and dignified death
terminal weaning mechanical ventialation gradually withdrawn from a terminally ill patient
nurses role in end-of-life care to provide interventions to relieve pain and other symptoms in the dying patient,
and may not act with the sole intent to end life
preparing the body (post-mortem care) privacy, remove all lines and tubes unless contraindicated (medical examination),
elevate the client's head (to avoid discoloration), cleanse the body, align the body in
supine position (with eyes closed, supine position, arms outside of sheet/blanket),
change linens and gowns, comb hair, tidy room, provide a calm environment
after family viewing (post-mortem care) complete required documentation, apply ID tag according to facility policy, and
transport patient according to facility policy
general adaptation syndrome (GAS) stress syndrome; has three stages: alarm reaction, resistance stage, exhaustion
stage
alarm reaction (GAS) functions of the body are increased to respond to stress; an increase in alertness,
HR, BP, and blood flow to muscles
, resistance stage (GAS) normalization of body functions while responding to stress; the body attempts to
return to homeostasis: HR, BP, and hormones stabilize
exhaustion stage (GAS) functions of the body are no longer able to respond to a stressor; this typically
results in death or recovery
compensation emphasizing a more desirable trait to overcome a percieved weakness
denial refusing to acknowledge a disturbig condition
displacement moving emotion from one person/object to another
dissociation subconsciously allowing the mind to forget a terrible event
introjection incorporating qualities/ vlaues of another into their ego
projection attributing one's own thoughts or impulses to another
rationalization giving logical or socailly acceptable reasoning for questionable behaviors
reaction formation exhibiting behaviors that are opposite of normal behaviors
regression returning to earlier behaviors, seen in children
repression choosing to remove an event that produces anxiety from conscious awareness
sublimination substituting good behavior for one "bad" behavior
undoing making up for previous bad acts
complementary therapies treatments used with or to enhance allopathic medicines
alternative therapies treatments that replace allopathic medicine and become the primary treatment
allopathic medicine using medications, surgery, and radiation to treat diseases and symptoms
hollism philosophy and theory focusing on interactions and connections between the parts
of the whole
holistic nursing care built on a philosophy of holism with the goal of healing the whole person
integrative health care using allopathic, complementary, and alternative medicine together
energy healing based upon belief of vital life force within and around the body; illness is the result
of an imbalance
chakras energy centers
etheric body (aura) 7 layers of energy surrounding the body