PSYCH EXAM PART 2 Flashcards

(38 cards)

1
Q

The experience of separation from something of personal importance

A

loss

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2
Q

elisabeth kubler-ross stages of grief

A
denial
anger
bargaining
depression
acceptance
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3
Q

j. william warden stages of grief

A

accepting the reality of the loss

processing the pain of grief

adjusting to a world without the lost entity

finding an enduring connection with the lost entity in midst of embarking on a new life

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4
Q

acute grief lasts?

A

6-8 weeks

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5
Q

is very individual

may last for years

A

grief process

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6
Q

when is the grief response more difficult?

A

dependent bereaved person

relationship was ambivalent

number of recent losses

loss of young person

bereaved person’s health’s unstable

if they feel responsible for the loss

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7
Q

the grief response may be facilitated if?

A

the individual has the support of the significant others

the individual has the opportunity to preprare for the loss

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8
Q

is thought to have occurred when a bereaved individual is able to remember comfortably and realistically both the pleasures and disappointments of that which is lost

A

resolution of grief process

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9
Q

the experiencing of the feelings and emotions associated with the normal grief response BEFORE the loss actually occurs

A

anticipatory grieving

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10
Q

difficulty with anticipatory grieving occurs when?

A

the family members complete the process of anticipatory grief, and detachment from the dying person occurs PREMATURELY

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11
Q

anticipatory grieving may be positive for some people and what for others?

A

less functional

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12
Q

the absence of grief when it ordinarily would be expected

potentially pathological because the person isn’t dealing with the reality of the loss

A

delayed or inhibited grief

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13
Q

delayed or inhibited grief people are fixed in which stage?

A

denial stage

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14
Q

may be triggered much later in response to a subsequent loss

A

grief

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15
Q

all of the symptoms associated with normal grieving are exaggerated

the individual become incapable of managing activities of daily living.

A

distorted (exaggerated) grief

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16
Q

distorted (exaggerated) grief people are fixed in what stage?

17
Q

is a type of distorted grief response

A

depressive mood

18
Q

may be maladaptive when certain behaviors are exhibited.

behaviors aimed at keeping the lost loved one alive

behaviors that PREVENT the bereaved from adaptively performing activities of daily living

A

chronic or prolonged grieving

19
Q

one crucial difference between normal & maladaptive grieving is?

A

the loss of self-esteem does not occur in uncomplicated bereavement

20
Q

the loss of self esteem ultimately precipitates?

21
Q

unable to understand death but can experience the feelings of loss & separation

22
Q

have some understanding about death

have difficulty distinguishing btw. fantasy and reality:

believe death is reversible

23
Q

beginning to understand the finality of death

have difficulty perceiving their own death

normal grief reactions include regressive & aggressive behaviors

24
Q

understand that death is final and eventually affects everyone;

feelings of anger, guilt, and depression are common

peer relations and school performance may be disrupted

25
usually able to view death on an adult level have difficulty perceiving their own death may or may not cry may withdrawal may exhibit acting-out behaviors
adolescents
26
a time in life of the convergence of many losses may lead to "bereavement overload" which may result in depression
elderly adults
27
similar to those of the dominant american culture of the same religion and social class of the same religion and social class with a blending of cultural practices from the african heritage feelings are expressed openly and publicly
african americans
28
death and bereavement are centered on ancestor workshop have intuitive fear of death and avoid references to it do not openly express their emotions
chinese americans
29
predominant religion is buddhism the body is prepared by close family members cremation is common
Japanese americans
30
buddhism is predominant religion belief that birth and death are predestined cremation is common the 1 year anniversary of an individuals death is commemorated
vietnamese americans
31
a week long wake takes place in home of deceased among catholic families, 9 days of novenas are held in the home or church, finishing on the last day with a fiesta wear dark clothing for 1 year after a death
filipino americans
32
traditional judaism believes in an afterlife a dying person is never left alone no wake and no viewing are part of a jewish funeral cremation is prohibited a 7 day period beginning with the burial is call shiva during which mourners think only about the deceased
jewish americans
33
view death as a natural part life death rituals reflect catholic beliefs burial is preceded by a velour, a festive watch over the body mourning is called auto and is symbolized by wearing dark or black and white clothing and by subdued behavior
Mexican americans
34
the navajo of the southwest conduct a cleansing ceremony before burial to prevent the spirit of the dead person from trying to assume control of someone else's spirit the dead are buried with their shoes on the wrong feet and rings on their index fingers. they do not express grief openly and are reluctant to touch the body of a dead person
native americans
35
nursing diagnoses
risk for complicated grieving related to loss of a valued concept/object risk for spiritual distress related to complicated grief process
36
a program that provides palliative and supportive care to meet the special needs of people who are dying and their families provides physical, psychological, spiritual, and social care for the person for whom aggressive treatment is no longer appropriate
hospice
37
focus of care for hospice
quality of life
38
a living will or durable power of attorney for health care allows an individual to prove directions about his/her future medical care
advance directives