Key Concepts
(T/F) Grief does not involve a physical response.
False
The most common types of grief are _____, _____, _____, and _____.
Anticipatory, acute, shadow, and complicated
(T/F) Nurses should use restraints when a person approaching death becomes restless.
*Instead calm the person through speech and actions such as reducing light, playing music or offering a gently back or arm massage.*
What is self-actualization?
The highest expression of one's individual potential and implies innner motivation that has been freed to express the most unique self or the "authentic person."
*Slight variation of this is ok or in your own words but meeting the general definition* See p.482
(T/F) Spiritual assessment is just as important as physical, emotional, and social assessments.
True
Caring nurse-patient relationships influence spirituality and this is the most important tool at the nurse's disposal.
The use of self
(T/F) Shadow grief is considered healthy and restorative.
True
This is the term used for the "unpleasant sensation of breathlessness."
Dyspnea
Name at least 3 attributes of people who grow toward self-actualization.
*Could also accept traits listed in box 35.2 on p482*
(T/F) Spirituality always involves some aspect of religion.
Someone can be spiritual and not uphold any religious beliefs. These are sometimes separate things even though some people connect their religion and spirituality.
The Loss Response Model can be used to optimize _____ __ ______ for those experiencing loss (3 words).
Quality of Life
Anticipatory grief may be especially difficult if the ___ is certain but the ___ is uncertain or not happening as expected.
(1st blank) Loss
(2nd blank) Timing
If the person approaching death has vision-like experiences of dead family or friends or religious visions what nursing action can be taken?
Accept the reality of the experience for the person; reassure them that the experience is normal.
*Slight variations on this answer are ok*
What is altruism and what is 1 example of altruism?
Selfless concern for the wellbeing of others (or some variation). Example: being a nurse :-)
Listening, validating, kind and caring words, encouraging family support, respecting traditions and rituals, creating a peaceful environment, being present, fostering connections to things that are held sacred to the person...
This type of care focuses on comfort as opposed to curative measures and can be provided in any setting.
Palliative care
Complicated grief can cause major depression sometimes manifested in cognitive challenges. This can be misinterpreted as what?
Dementia
In addition to dyspnea, nausea and fatigue are common at the end of life, but what symptom is often one of the highest priorities in ensuring comfort?
Pain
*Sometimes pain medication doses may be unfamiliar or uncomfortable for the nurse but comfort and pain control must be prioritized*
This American psychologist popularized self-actualization with his "___ of ___"
Maslow with his "Hierarchy of Needs"
Spirituality is a need that drives people to seek ___ and ___in their existence.
Meaning and purpose
Gerotranscendence theory proposes that there is a shift in concerns for older adults from materialistic to what?
This type of grief is socially disallowed or unsupported or occurs when the full meaning of the loss is not understood.
Disenfranchised Grief
Palliative sedation can involve this "effect" which is an accepted practice permitting the use of as much medication as needed to relieve suffering.
Double effect
Maslow's Hierarchy of Needs includes these 5 areas of need, that can help remind us to provide person-centred care.
1. Self-actualization
2. Esteem
3. Love and Belonging
4. Safety
5. Physiological needs
(T/F) NURS481 was my favourite class this semester
True :-)
*Half points awarded for "False" and no hard feelings haha