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N212 Lecture 8 Flashcards

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1
Q

maturational loss is

A

a form of necessary loss and includes all normally expected life changes across the life span.

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2
Q

situational loss is

A

sudden, unpredictable external events

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3
Q

losses can be actual or perceived, true or false

A

true

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4
Q

actual loss is when

A

a person can no longer feel, hear, see or know a person or object

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5
Q

a perceived loss is defined

A

by the person experiencing the loss and is less obvious to other people

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6
Q

bereavement involves both grief and mourning, true or false

A

true

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7
Q

normal grief is uncomplicated, its a common and universal, true or false

A

true

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8
Q

anticipatory grief is before the actual loss or death occurs, true or false

A

true ( especially in situations of prolonged or predicted loss)

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9
Q

disenfranchised grief is when

A

their relationship to the deceased person is not socially sanctioned, cannot be openly shared or seems of lesser significance

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10
Q

ambiguous loss is a type of disenfranchised grief when a person is physically there but not psychologically available, true or false

A

true

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11
Q

complicated grief is

A

a person has a prolonged or significantly difficult time moving forward after a loss, trouble accepting the death and trusting others

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12
Q

a person with chronic grief experiences a normal grief response except it lasts longer, true or false

A

true

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13
Q

a person with exaggerated grief often exhibits self destructive or maladaptive behaviors, obsessions, or psychiatric disorders, true or false

A

true

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14
Q

masked grief is when

A

a grieving person behaves in ways that interfere with normal functioning but is unaware that the disruptive behavior is due to the loss

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15
Q

The end of life nursing consortium ( ELNEC) provides

A

basic and advanced curriculum for loss, grief, death and bereavement

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16
Q

The american nurses association (ANA) has developed the scope and standards for hospice and palliative nursing practice, true or false

A

true

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17
Q

who offers evidence based practice guidelines for managing clinical and ethical issues at the end of life in many health care settings

A

american society of pain management nurses and the american association of critical care nurses

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18
Q

why to encourage patients to share information about a loss

A

will help us develop appropriate interventions that will help those patients

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19
Q

what influences a persons grief process in direct and indirect ways

A

socioeconomic status

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20
Q

how to provide the best possible individualized care for patients when it comes to loss

A

caring for the patient in a holistic approach

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21
Q

hopefulness gives a person the ability to see life as enduring or having meaning or purpose, true or false

A

true

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22
Q

discuss end of life care preferences early in the assessment phase of the nursing process, true or false

A

true

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23
Q

what questions can open the door to a patient centered discussion

A

open ended questions

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24
Q

types of grief variables

A

coping style, family relationships, culture, spirituality

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25
types of grief reactions
sorrow, disbelief, confusion, headache
26
loss takes place in a social context, true or false
true
27
feelings of grief that develop before, rather than after a loss is called
anticipatory grief
28
prolonged and intense mourning after a death, loss or separation is a
complicated grief
29
palliative care focuses on
the prevention, relief, reduction, or soothing of symptoms of disease or disorders through out the entire course of the illness (can include care of dying)
30
palliative care primary goal is
help patients and families achieve the best possible quality of life
31
hospice care is for
care of terminally ill patients, manage pain, provide comfort and ensure quality of life
32
what approach allows us to respond to patients rather than to react and encourages the sharing of information
patient focused approach
33
myoclonus is
involuntary muscle twitching
34
nursing strategies that promote hope are to be present and provide whole person care, true or false
true
35
to control respiratory secretions we use
antimuscarinic drugs
36
spirituality is defined as
awareness of ones inner self and sense of connection to a higher being, nature or purpose greater than oneself
37
spirituality helps with
achieving balance to maintain health, well being ability to cope with illness
38
concepts of spirituality and religion are often interchanged, true or false
true but spirituality is much broader
39
beneficial health outcomes occur when individuals are able to exercise their spiritual beliefs, true or false
true
40
believing helps with healing, true or false
true
41
the beneficial effects of spirituality are tied to
hormonal and neurological activities
42
the 5 constructs that define spirituality
self transcendence( authentically connecting to ones inner self), connectedness(being intrapersonally connected within oneself), faith( having beliefs despite lack of physical evidence), hope( energizing source that has orientation to future goals and outcomes)
43
inner peace fosters
calm, positive, peaceful feelings despite life experiences
44
spirituality helps people find meaning and purpose of life in both positive and negative events, true or false
true
45
agnostic is
they believe that there is no known ultimate reality
46
spiritual well being is
having 2 dimensions, one supports the transcendent relationship between a person and god and other dimension has positive relationships and connections with other people
47
a spiritual person faith brings hope, true or false
true
48
what 2 types of care do a patient benefit from
religious and spiritual
49
spiritual distress is
a state of suffering related to the impaired ability to experience meaning in life through connections with self, others and the world
50
spiritual distress causes a person to feel
doubt, loss of faith, sense of being alone
51
spiritual assessment is therapeutic because
it expresses a level of caring
52
spiritual well being scale has 20 questions, true o false
true
53
FICA assessment tool assesses quality of life, FICA stands for
F- faith or belief I- important and influence C- community A- address (interventions)
54
conflicting religious beliefs is
conflict between religious beliefs and recommended treatments
55
conflicting spiritual belief is
inner conflict or struggles about beliefs
56
despair is
complete loss of hope
57
disrupted spiritual rituals
inability to exercise usual spiritual rituals
58
hopelessness is having no expectation of a favorable outcome, true or false
true
59
lack of meaning is believing ones life lacks purpose and worth, true or false
true
60
spiritual distress is
a disturbance in a persons belief system
61
risk for spiritual distress is
increased risk for disturbance in a persons belief system
62
whats an effective coping resource for physical and psychological symptoms
prayer
63
what creates a relaxation response to reduce daily stress
meditation
64
evaluation data related to spiritual health are usually
subjective
65
what affects circadian rhythms (sleep)
light, temperature, social activities, work routines
66
stages of sleep are
nonrapid eye movement (NREM), rapid eye movement(REM)
67
what controls the circadian rhythms sleep wake cycle
hypothalamus
68
all persons have biological clocks that synchronize their sleep cycles, true or false
true
69
the homeostatic process ( process S) regulates
the length and depth of sleep
70
the circadian rhythms ( process C) influence
the internal organization of sleep and the timing and duration of sleep wake cycles
71
the time of wake up is defined by the intersection of process s and process C, true or false
true
72
hypersomnias are sleep disturbances that results in daytime sleepiness and not caused by disturbed sleep or alterations in circadian rhythms, true or false
true
73
a polysomnogram monitors the stages of sleep and wakefulness during nighttime sleep, true or false
true
74
what provides objective information about sleepiness and selected aspects of sleep structure by measuring eye movements, muscle tone changes and brain activity
the multiple sleep latency test
75
insomnia the most common sleep disorder is
when they chronically have difficulty falling asleep
76
sleep apnea is
a disorder characterized by lack of airflow through the nose and mouth for periods of 10 secs or longer.
77
3 types of sleep apnea are
central, obstructive and mixed
78
OSA( obstructive sleep apnea) 2 major risk factors are
obesity and hypertension
79
sleep apnea is considered lack of airflow through mouth and nose for periods of
10 secs or longer during sleep
80
diminishing nasal airflow is
hypnea
81
stopping nasal airway is
apnea
82
central sleep apnea (CSA) involves
dysfunction in the respiratory control center in the brain
83
cataplexy is
sudden muscle weakness during intense emotions
84
parasomnias are sleep problems that are more common with children, true or false
true
85
parasomnias include
sleepwalking, night terrors, nightmares, bed wetting, body rocking, tooth grinding
86
some older adults have almost no more stage 4 NREM sleep, true or false
true
87
what are the 2 effective subjective measures of sleep
the Epworth sleepiness scale and the Pittsburgh sleep quality index
88
insomnia is
difficulty falling asleep or staying asleep
89
melatonin is
neurohormone produced in the brain that helps control circadian rhythms and promote sleep
90
recommended dose of melatonin is 0.3 to 1mg taken 2 hours before bedtime, true or false
true
91
valerian is effective in
mild insomnia and RLS
92
kava helps promote
sleep in patients with anxiety
93
chamomile herbal tea has a mild sedative that may
promote sleep

Nurs212 (8 decks)

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