ch.44

Question 1

loss

Answer 1

inaccessibility or change in a valued person, object, or situation

Question 2

actual loss

Answer 2

loss that can be recognized by others as well as by the person sustaining the loss, such as loss of a limb or a spouse

Question 3

perceived loss

Answer 3

loss of youth, of financial independence, and of a valued environment experienced by a person, but intangible to others

Question 4

anticipatory loss

Answer 4

condition in which a person displays loss and grief behaviors for a loss that has yet to take place

Question 5

grief

Answer 5

emotional response to loss.

Question 6

mourning

Answer 6

period during which a person learns to accept grief

Question 7

bereavement

Answer 7

state of grieving or going through the grief process

Question 8

dysfunctional grief

Answer 8

abnormal or distorted grief that may be either unresolved or inhibited

Question 9

palliative care

Answer 9

hospice care; taking care of the whole person—body, mind, spirit, heart, and soul

Question 10

hospice care

Answer 10

a type of end-of-life care for persons who are terminally ill, characterized by the following: (1) patients are kept as free of pain as possible so that they may die comfortably and with dignity; (2) patients receive continuity of care, are not abandoned, and do not lose personal identity;

Question 11

advance care planning

Question 12

POLST form

Answer 12

stands for Physician Order for Life-Sustaining Treatment, a medical order indicating a patient’s wishes regarding treatments commonly used in a medical crisis; must be completed and signed by a health care professional, not the patient

Question 13

MOLST form

Answer 13

stands for Medical Order for Life-Sustaining Treatment, a medical order indicating a patient’s wishes regarding treatments commonly used in a medical crisis

Question 14

DNR order

Answer 14

an order specifying that there be no attempt to resuscitate a patient in the event of cardiopulmonary arrest

Question 15

Comfort Measures Only order

Question 16

terminal weaning

Answer 16

withdrawal of life-sustaining therapy with the understanding that death may result, generally after a decision is made that the therapy in question is medically futile or disproportionately burdensome

Question 17

euthanasia

Answer 17

mercy killing; the deliberate termination of the life of a person

Question 18

active euthanasia

Answer 18

someone other than the patient commits an action with the intent to end the patient’s life, for example, injecting the patient with a lethal dose of a drug

Question 19

maturational loss

Answer 19

experienced as a result of aging

Question 20

psychological loss

Answer 20

may be caused by an altered self image

Question 21

Engel’s Six Stages of Grief

Answer 21

-shock/disbelief
-developing awareness
-restitution or rituals
-resolving the loss
-idealization or exaggeration
-outcome

Question 22

death

Answer 22

defined by irreversible cessation of respiratory or circulatory function or irreversible cessation of the brain

Question 23

Kubler Ross’s 5 Stages of Grief

Answer 23

-denial/isolation
-anger
-bargaining
-depression
-acceptance

Question 24

advance directives

Answer 24

power of attorney, living wills