7-Grief & Loss

Question 1

Occurs when something or someone is missing. Can include health, functioning, energy, work roles, family roles, relationships, hope & future life.

Answer 1

Loss

Question 2

The experience of loss of a person to whom one has a significant attachment. The loss itself.

Answer 2

Bereavement

Question 3

A universal human response when security is shattered by loss. Involves letting go of life and entering a place of unknowing.

Answer 3

Grief

Question 4

The outward expression of grief in public or with other people.

Answer 4

Mourning

Question 5

Grief according to Kubler-Ross!

DABDA

Answer 5

Denial
Anger
Bargaining
Depression
Acceptance

Question 6

Refusal to accept loss or believe px which can occur consciously or unconsciously.

Answer 6

Denial

Question 7

Strong feelings of resentment, blame, expressed to family, HCW, god etc

Answer 7

Anger

Question 8

Trying to strike an agreement w/ god or fate to postpone death in return for a change of behaviour

Answer 8

Bargaining

Question 9

Deep sadness when the person believes that life will soon be over

Answer 9

Depression

Question 10

A sense of peace and calm that death is imminent

Answer 10

Acceptance

Question 11

T/F Grief can adequately be describe for all people.

Answer 11

FALSE

Question 12

Bridge’s Transition Process.

Answer 12

Ending -> Neutral Zone-> Beginning

Question 13

In the neutral zone?

Answer 13

Darkness and confusion

Question 14

Disengagement…

Answer 14

Re-engaging

Question 15

Dis-identification…

Answer 15

New Identity

Question 16

Disenchantment

Answer 16

New Meaning

Question 17

Disorientation

Answer 17

Reorientation

Question 18

Ending
Disengagement
Dis-identification
Disenchantment
Disorientation

Answer 18

Beginning
Re-engaging
New Identity
New Meaning
Re-orientation

Question 19

__________ Theory is considered to be the best predictor of healthy or unhealthy grieving

Answer 19

Attachment

Question 20

Attachment theory states that people who had…

Answer 20

Secure comforting bonds with parents have healthiest bereavement in adulthood

Question 21

Normal grief affects:

Answer 21

Emotion
Thinking Behavior
Body

Question 22

Emotions of grief include:

Answer 22

Anger
Guilt
Depression
(Most Common)

Question 23

Thoughts & behaviours of grief include:

Answer 23

Disbelief
Sleep disturbances*
Focus difficult

Question 24

Effects of grief on the body:

Answer 24

Disturbed sleep
Appetite changes
Lower level of activity/Sex drive

Question 25

T/F Bereaved people are at greater risk of death or illness following the loss of a loved one.

Answer 25

TRUE

Question 26

When grief lasts form 2+ months, individual isolates themselves from others, loses sense of meaning and fails to invest in life.

Answer 26

Complicated Grief

Question 27

Grief is considered complicated when the person is so disturbed that…

Answer 27

Fnxn at work, home, and in social roles is grossly impaired. Intense preoccupation with deceased.

Question 28

When a death cannot be mourned openly or acknowledged.

Answer 28

Disenfranchised Grief

Question 29

What community is at risk for disenfranchised grief?

Answer 29

GLBT - partners who aren’t accepted within persons family

Question 30

Disenfranchised grief can also occur when the loss is of a..(3)

Answer 30

Pet
Dementia pt
Missing person

Question 31

This is a process that occurs in response to the advanced warning of impending death in oneself or a significant loved one.

Answer 31

Anticipatory Grief

Question 32

Anticipatory grief can be good and bad. Why?

Answer 32

Gives chance to say goodbye, control.

Can create complication if 4 extended time period

Question 33

This involves recurring grief reactions when there is a significant loss of crucial functions in oneself or another to whom the person has a deep attachment.

Answer 33

Chronic Sorrow

Question 34

Chronic sorrow is common in:

Answer 34

Chronic disability - Alzheimer’s

Question 35

3 Steps to caring for grieving people:

Answer 35

Normalize grief process
Support disclosure while allowing 4 individual diffs
Making referrals for complicated grief