PP - GRIEF

Question 1

Grief can be defined as

Answer 1

the feelings or reactions an individual has to a loss in one’s life

Question 2

The loss that an individual endures is not necessarily related to a death, as grief can be experienced from

Answer 2

any loss or personal experiences

Question 3

Types of Grief (4)

Answer 3

Normal
Anticipatory
Prolonged Grief Disorder
Disenfranchised

Question 4

Normal:

Answer 4

Also known as uncomplicated grief
caused by loss of someone very close
through death or the ending of a relationship

Question 5

Anticipatory:

Answer 5

Grief that is experienced before the expected loss of someone or something

Question 6

Prolonged grief disorder (PGD)

Answer 6

Previously known as complicated grief
lasts >6 months
can be so significant - affects client’s ability to function

Question 7

Disenfranchised:

Answer 7

Grief related to a relationship that does not coincide with what is considered by society to be a recognized or justified loss
what would nbe an example of this???

Question 8

grief is a normal response to loss, every person has their own

Answer 8

unique / personal way of moving through grieving process.

Question 9

One’s culture often provides the guidelines for

Answer 9

how people express their grief experience, and in turn, serves as foundation for their actions

Question 10

Kubler-Ross Five Stages of Grief Model

Answer 10

Denial
Anger
Bargaining
Depression
Acceptance

Question 11

Denial:

Answer 11

Client refuses to believe the truth and this helps to lessen the pain of the loss

Question 12

Anger:

Answer 12

Client is trying to adjust to the loss and is feeling severe emotional distress, often asking “why me?” and suggesting “it’s not fair”

Question 13

Bargaining:

Answer 13

Usually involves bargaining with a higher power by making a promise to do something in exchange for a different, better outcome

Question 14

Depression:

Answer 14

Reality sets in, and the loss of the loved one or thing is deeply felt

Question 15

Acceptance:

Answer 15

Client still feels the pain of the loss but realizes they will be all right

Question 16

The Dual Process Model of Grief

Answer 16

Suggests process of grieving oscillates between two types of stressors
loss-oriented and restoration grief

Question 17

During loss-oriented stressors,

Answer 17

grief is conveyed through intense thoughts and feelings

Question 18

restoration grief process involves

Answer 18

coping w/
AKA (secondary losses) and rebuilding one’s life w/out loved one.

Question 19

Secondary losses

Answer 19

other losses that come w/ death of a loved one

Question 20

Worden’s Four Tasks of Mourning

Answer 20

Accept the reality of the loss
Experience the pain of grief
Adjust to an environment w/out the deceased
Create an enduring connection to deceased loved one, while embarking on a new life

Question 21

Common Grief Reactions (9)

Answer 21

Shock
Anger
Anxiety
Numbness
Denial
Guilt
Sadness
Relief (if death is expected)
Depression

Question 22

When might relief be felt when a loved one dies

Answer 22

When the death is expected

Question 23

The age of the person experiencing the grief will influence what

Answer 23

the grief response

Question 24

Religious-Spiritual rituals can help a person who is grieving to

Answer 24

deal with death and the grieving process

Question 25

The NURSE Technique

Answer 25

Name
Understand
Respect
Support
Explore

Question 26

The nurse Technique - Name

Answer 26

Identify what client just stated, or emotion expressed by client

Question 27

The nurse Technique - Understand

Answer 27

Demonstrate understanding by recognizing client’s feelings
providing an opportunity for client to discuss their feelings

Question 28

The nurse Technique - Respect

Answer 28

Voice your respect for client under these circumstances

Question 29

The nurse Technique - Support

Answer 29

Inform client that you are available to him / her

Question 30

The nurse Technique - Explore

Answer 30

Ask open-ended questions to
extend conversation
provide more detailed expression of client’s feelings / beliefs

Question 31

What may nurses experience after a clients death

Answer 31

grief

Question 32

Reactions differ among nurses in expressing grief and is affected by

Answer 32

clinical circumstances of client’s death
personal factors specific to the nurse.

Question 33

Because reactions to grief differ, each nurse needs to be aware of and

Answer 33

manage their grief