Loss, Grief, & Bereavement

Question 1

what are the 3 classification of deaths

Answer 1

premature, unexpected, & catastrophic

Question 2

define a PREMATURE DEATH

Answer 2

death of infant/child w/o warning

Question 3

define an UNEXPECTED DEATH

Answer 3

death w/o warning in seemingly healthy ppl

Question 4

define a CATASTROPHIC DEATH

Answer 4

death from violent/destructive acts

Question 5

list grief support techniques

Answer 5

• offer self & support
• avoid generalizations
• recognize time for healing
• be nonjudgmental
• suggest professional help

Question 6

define LOSS

Answer 6

an encounter 1 faces during their life that challenges priorities & relationships

Question 7

how do infants understand death?

Answer 7

no concept

Question 8

how do toddlers understand death?

Answer 8

temporary & reversible

Question 9

how do pre-schoolers understand death?

Answer 9

believe their thoughts cause death leading to guilt & shame

Question 10

how do school-age kids understand death?

Answer 10

death is permanent but may associate it w/their misdeeds; personify death as evil/monstrous

Question 11

how do adolescents understand death

Answer 11

mature, subject to guilt & shame; least likely to accept death

Question 12

how do early adults understand death?

Answer 12

concerns about mortality only appear after someone their age dies/gravely ill

Question 13

how do middle adults understand death?

Answer 13

focus on physical changes & losses leads to consideration of mortality

Question 14

how do elderly understand death?

Answer 14

prepare for it by talking about death

Question 15

define MOURNING

Answer 15

natural process remembering & grieving after major loss

Question 16

define BEREAVEMENT

Answer 16

state of having sustained loss through death

Question 17

define GRIEF

Answer 17

feeling/outward expression of mental anguish that comes w/bereavement; 2 types

Question 18

what are the 2 types of grief?

Answer 18

anticipatory & maladaptive

Question 19

define maladaptive grief

Answer 19

exaggerated, lengthy, & unpredictable leading to unresolved conflicts

Question 20

list s/s of grief

Answer 20

• sadness, crying, loneliness
• dry mouth
• anxiety & depression
• tightness in throat
• abdominal complaints
• weakness & fatigue

Question 21

define a WIDOW

Answer 21

female surviving spouse

Question 22

define a WIDOWER

Answer 22

male surviving spouse

Question 23

give examples of symbolic losses

Answer 23

• loss of work
• loss of status
• change in roles

Question 24

list signs of approaching death

Answer 24

• quiet & still/restless & agitated
• withdrawn/less alert
• potential decrease in senses
• Cheyne-Stokes respirations
• BP drops & BPM slows
• bowel & bladder control weak
• loss of body heat

Question 25

List the 5 stages of Kuber-Ross stages' of grief

Answer 25

1. denial 2. anger 3. bargaining 4. depression 5. acceptance

Question 26

describe DENIAL STAGE of Kuber-Ross's stages

Answer 26

believe diagnosis of death is a mistake & cannot accept reality or deal w/full implication of prognosis

Question 27

describe the ANGER STAGE of Kuber-Ross's stages

Answer 27

internalize truth of impending death

Question 28

describe the BARGAINING STAGE of Kuber-Ross's stages

Answer 28

accept death but wants more time so turns to religion to bargain w/higher power; will to live is strong & wants to achieve goals

Question 29

describe the DEPRESSION STAGE of Kuber-Ross's stages

Answer 29

realize death is soon & can't fulfill goals; become withdrawn & quiet bc they know they can't change outcome

Question 30

describe the ACCEPTANCE STAGE of Kuber-Ross's stages

Answer 30

work through unresolved feelings & problems; separate themselves from world & others; make final goodbyes

Question 31

what are Bowlby's Stages of Separations

Answer 31

compares similarities of child & mother separation w/adult grief

Question 32

what are the 3 parts of Bowlby's stages of separation

Answer 32

1. protest 2. despair 3. detachment

Question 33

what are the 4 parts of Bowlby's stages of mourning?

Answer 33

1. numbing 2. painful 3. disorganization & despair 4. reorganization

Question 34

describe the NUMBING STAGE of Bowlby's stages of mourning

Answer 34

protective mechanism

Question 35

describe the PAINFUL STAGE of Bowlby's stages of mourning

Answer 35

face magnitude of death & feel intense longing for person/thing lost

Question 36

describe the DISORGANIZATION & DESPAIR STAGE of Bowlby's stages of mourning

Answer 36

angry & search for answers

Question 37

describe the REORGANIZATION STAGE of Bowlby's stages of mourning

Answer 37

adapt to new roles & revise priorities