NSG 501 EXAM 4 QUESTIONS AND ANSWERS WITH
COMPLETE SOLUTIONS VERIFIED LATEST UPDATE
Differentiate loss from grief.
loss: can no longer see, touch, hear or be near a person or a thing
grief: an emotional response to loss. dynamic, intense feelings that diminish over time
Attachment Theory
- Numbing: Protects the person from the full impact of the loss
- Yearning and Searching: Emotional outbursts, acute distress
- Disorganization and Despair: endless examination of why
- Reorganization: Accepts the change
Grief Tasks Model
- Accepts the reality of the loss
- Experiences the pain of grief
- Adjusts to a world without the loved one/thing
- Emotionally relocates the deceased and moves on with life
Rando's R Process Model
- Recognizing the loss
- Reacting to the pain of separation
- Reminiscing
- Relinquishing old attachments
,- Readjusting to life after loss
- Reminiscence
Dual Process Model
- Loss-Oriented
- Restoration-Oriented
Trajectories of Bereavement
- Common Grief
- Chronic Grief
- Chronic Depression
- Depression followed by Improvement
- Resilience
Actual loss
can no longer see, touch, hear, or be near a person or thing
Perceived loss
Unique experience, less obvious to others
Maturational Loss
Lifetime of normal developmental processes, predictable losses
Situational Loss
Unpredictable life event
Loss of possessions or objects implications
- What is the value of the object?
- What is the sentiment attached to it?
- What was its usefulness?
,Loss of familiar environment implications
- Is the loss due to situational or maturational events?
- Does the loss occur because of illness or injury?
- Does loneliness, social isolation threaten self-esteem, belonging or hopefulness?
Loss of significant other or relationship implications
- Close friends, family members, divorce, pets.
- Does loss threaten safety, love, self-concept?
Loss of aspect of self
- Illness
- injury
- valued aspect (ex: fertility)
- identity
Loss of life
Grieving occurs in the dying and those left behind.
Infancy to 5 years concept of death
- Does not understand the concept of death
5-9 years concept of death
- Understands that death is final
- Believes that own death can be avoided
9 - 12 years concept of death
- Understands death as inevitable
- Understands own mortality
12 -18 years concept of death
, - Fears a lingering death
- May fantasize that death can be defied
18-45 years concept of death
- Attitude toward death is influenced by religion and culture
45 - 65 years concept of death
- Accepts own mortality
- Encounters death of parents and some peers
65+ years concept of death
- Fears prolonged illness
- Sees death as having multiple meanings
Palliative care
- goal is care to improve the quality of life for clients and families coping with a life
threatening and life limiting illness
- Aim is supportive vs. restorative
- Focus is on pain control, physical sx management, easing secondary psychosocial
and spiritual distress
- Assists with making EOL (end of life) decisions
hospice care
- Clients must have a prognosis of 6 months or less
- Cannot be receiving active medical treatment
- Considered a part of the continuum of palliative care
- Focus becomes symptom management (especially pain), decision making about EOL
issues, and support for client and family
COMPLETE SOLUTIONS VERIFIED LATEST UPDATE
Differentiate loss from grief.
loss: can no longer see, touch, hear or be near a person or a thing
grief: an emotional response to loss. dynamic, intense feelings that diminish over time
Attachment Theory
- Numbing: Protects the person from the full impact of the loss
- Yearning and Searching: Emotional outbursts, acute distress
- Disorganization and Despair: endless examination of why
- Reorganization: Accepts the change
Grief Tasks Model
- Accepts the reality of the loss
- Experiences the pain of grief
- Adjusts to a world without the loved one/thing
- Emotionally relocates the deceased and moves on with life
Rando's R Process Model
- Recognizing the loss
- Reacting to the pain of separation
- Reminiscing
- Relinquishing old attachments
,- Readjusting to life after loss
- Reminiscence
Dual Process Model
- Loss-Oriented
- Restoration-Oriented
Trajectories of Bereavement
- Common Grief
- Chronic Grief
- Chronic Depression
- Depression followed by Improvement
- Resilience
Actual loss
can no longer see, touch, hear, or be near a person or thing
Perceived loss
Unique experience, less obvious to others
Maturational Loss
Lifetime of normal developmental processes, predictable losses
Situational Loss
Unpredictable life event
Loss of possessions or objects implications
- What is the value of the object?
- What is the sentiment attached to it?
- What was its usefulness?
,Loss of familiar environment implications
- Is the loss due to situational or maturational events?
- Does the loss occur because of illness or injury?
- Does loneliness, social isolation threaten self-esteem, belonging or hopefulness?
Loss of significant other or relationship implications
- Close friends, family members, divorce, pets.
- Does loss threaten safety, love, self-concept?
Loss of aspect of self
- Illness
- injury
- valued aspect (ex: fertility)
- identity
Loss of life
Grieving occurs in the dying and those left behind.
Infancy to 5 years concept of death
- Does not understand the concept of death
5-9 years concept of death
- Understands that death is final
- Believes that own death can be avoided
9 - 12 years concept of death
- Understands death as inevitable
- Understands own mortality
12 -18 years concept of death
, - Fears a lingering death
- May fantasize that death can be defied
18-45 years concept of death
- Attitude toward death is influenced by religion and culture
45 - 65 years concept of death
- Accepts own mortality
- Encounters death of parents and some peers
65+ years concept of death
- Fears prolonged illness
- Sees death as having multiple meanings
Palliative care
- goal is care to improve the quality of life for clients and families coping with a life
threatening and life limiting illness
- Aim is supportive vs. restorative
- Focus is on pain control, physical sx management, easing secondary psychosocial
and spiritual distress
- Assists with making EOL (end of life) decisions
hospice care
- Clients must have a prognosis of 6 months or less
- Cannot be receiving active medical treatment
- Considered a part of the continuum of palliative care
- Focus becomes symptom management (especially pain), decision making about EOL
issues, and support for client and family
