Legal, Ethical, Grief and Loss

Question 1

conservatorship

Answer 1

control of a persons property, money, etc.

Question 2

guardianship

Answer 2

control of the person

Question 3

utilitarianism

Answer 3

decisions based on the greatest good for the greatest number

Question 4

deontology

Answer 4

decisions on whether action is morally right or wrong, with no regard for consequences

Question 5

autonomy

Answer 5

right to self-determination

Question 6

beneficence

Answer 6

duty to benefit others or promote good

Question 7

nonmaleficence

Answer 7

requirement to do no harm

Question 8

justice

Answer 8

fairness

Question 9

veracity

Answer 9

honesty, truthfulness

Question 10

fidelity

Answer 10

obligation to honor commitments and contracts

Question 11

grieving/bereavement

Answer 11

the process by which a person experiences grief; the content and the process

Question 12

mourning

Answer 12

outward expression of grief, may include cultural practices or rituals

Question 13

anticipatory grieving

Answer 13

when facing an imminent loss, people begin to deal with the very real possibility of loss or death in the near future

Question 14

Kubler-Ross’s Five Stages of Grief

Answer 14

denial, anger, bargaining, depression, acceptance

Question 15

Engel’s Stages of Grieving

Answer 15

shock and disbelief, developing awareness, restitution (rituals related to loss), resolution of the loss (preoccupied with the loss), recovery

Question 16

Worden’s Tasks of Grieving

Answer 16

accept, process, adjust, find

Question 17

Dimensions of Grieving

Answer 17

cognitive, emotional, spiritual, behavioral, physiologic

Question 18

Palliative Care

Answer 18

provides symptom management, not necessarily terminal, improves quality of life while continuing conventional treatment

Question 19

Hospice Care

Answer 19

terminally ill, care provided at the end of life, improves quality of life, conventional treatments are typically stopped

Question 20

Disenfranchised Grief

Answer 20

grief over a loss that is not or cannot be openly acknowledged, mourned publicly, or supported socially

Question 21

Complicated Grief

Answer 21

person devoid of emotion or grieving for a prolonged period of time, expressions of grief that seem disproportionate to the event

Question 22

signs of complicated grief

Answer 22

avoidance, feeling overwhelmed, panic, reactive psychosis, suicidal ideation, inappropriately hostile feelings, maladaptive avoidance, flooding with negative images, recurrent nightmares, self-injurious behaviors, failure to negotiate the process of mourning, feeling of inability to integrate the death with a sense of self and continued life

Question 23

6 Nursing Interventions for Grieving

Answer 23

1. Offer an attentive presence
2. explore the perception of loss
3. promote positive coping mechanisms
4. utilize support groups and peer support
5. respect the clients unique process of grieving
6. use simple nonjudgmental statements to acknowledge the loss