Nursing Chapter 36: Loss and Grief

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Questions and Answers

What is the primary difference between actual loss and situational loss?

Actual loss is a permanent loss, while situational loss is a temporary loss.

Actual loss is a physical loss, while situational loss is an emotional loss.

Actual loss is a perceived loss, while situational loss is a necessary loss.

Actual loss is a tangible loss, while situational loss is a change in lifestyle. (correct)

Which type of grief occurs when a person is experiencing a sense of loss before the actual loss occurs?

Disenfranchised grief

Complicated grief

Anticipatory grief (correct)

Normal grief

What is the term for the grief that is not acknowledged or supported by society?

Disenfranchised grief (correct)

Masked grief

Complicated grief

Ambiguous loss

Which theory of grief and mourning proposes that grief is a process of emotional detachment?

Attachment Theory Signup and view all the answers

What is the primary factor that influences a person's response to loss and grief?

Human development Signup and view all the answers

What is the term for the grief that is prolonged and intense, and lasts for an extended period of time?

Chronic grief Signup and view all the answers

What is the primary characteristic of critical thinking in the context of loss and grief?

Critical thinking requires a synthesis of knowledge, experience, and environmental factors. Signup and view all the answers

What is the term for the type of grief that is not acknowledged by the grieving person?

Masked grief Signup and view all the answers

Which theory of grief and mourning proposes that grief is a process of completing tasks?

Grief Tasks Model Signup and view all the answers

What is the primary factor that influences a person's coping strategies in response to loss and grief?

Socioeconomic status Signup and view all the answers

What is the primary focus of the assessment phase in the nursing process?

Gathering information about the patient's grief reactions and environmental factors Signup and view all the answers

Which of the following is an example of a nursing diagnosis?

Dysfunctional Grief Signup and view all the answers

During the planning phase, what is the primary goal of setting priorities?

To identify the most important patient outcomes Signup and view all the answers

What is the primary focus of the implementation phase?

Providing therapeutic communication approaches and promoting dignity and self-esteem Signup and view all the answers

What is an example of health promotion during the implementation phase?

Maintaining a comfortable and peaceful environment Signup and view all the answers

What is the primary goal of postmortem care?

To preserve the body for autopsy or organ donation Signup and view all the answers

What is the primary focus of the evaluation phase?

Evaluating the effectiveness of interventions through the patient's eyes Signup and view all the answers

What is an example of a grief variable?

Environmental factor Signup and view all the answers

What is the primary goal of teamwork and collaboration during the planning phase?

To improve communication among healthcare team members Signup and view all the answers

What is the primary goal of hospice care?

To provide palliative care and support the patient's quality of life Signup and view all the answers

Study Notes

Loss and Grief

Loss can be classified into two types: actual loss and perceived loss.
Actual loss can be further divided into necessary loss and situational loss.

Grief

Grief can be classified into several types, including normal grief, anticipatory grief, disenfranchised grief, and complicated grief.
Complicated grief can be further divided into chronic grief, exaggerated grief, delayed grief, and masked grief.
Disenfranchised grief is associated with ambiguous loss.

Theories of Grief and Mourning

Theories of grief and mourning include the stages of dying, attachment theory, grief tasks model, Rando's "R" process model, and dual process model.

Factors Influencing Loss and Grief

Factors influencing loss and grief include human development, personal relationships, nature of the loss, coping strategies, socioeconomic loss, culture, and spiritual and religious beliefs.

Nursing Process

Assessment

Assessment involves understanding the patient's perspective and identifying grief variables, grief reactions, and environmental factors.

Analysis and Nursing Diagnosis

Examples of nursing diagnoses include impaired family coping, death anxiety, pain, dysfunctional grief, and anticipatory grief.

Planning and Outcomes Identification

Planning involves setting priorities, identifying outcomes, and promoting teamwork and collaboration.

Implementation

Implementation involves health promotion, therapeutic communication, provision of psychosocial care, symptom management, promotion of dignity and self-esteem, and care after death.
Health promotion includes assisting with end-of-life decision making, providing palliative care, and promoting spiritual comfort and hope.
Care after death includes organ and tissue donation, autopsy, and postmortem care.

Evaluation

Evaluation involves understanding the patient's perspective and assessing patient outcomes.

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Description

This quiz covers the fundamentals of nursing, specifically Chapter 36, focusing on loss and grief, including types of loss and the grieving process.