ADN 420 EXAM 2 QUESTIONS WITH 100- CORRECT ANSWERS

ADN 420 EXAM 2
QUESTIONS WITH
100% CORRECT
ANSWERS




NecessaryvLossv-vcorrectvanswer-
Avlossvrelatedvtovchangevthatvisvpartvofvthevcyclevofvlifevthatvisvanticipatedvbutvcanvsti
llvbevintenselyvfelt.vThisvtypevofvlossvcanvbevreplacedvbyvsomethingvbetter.

ActualvLossv-vcorrectvanswer-
Anyvlossvofvavvaluedvperson,vitem,vstatus,vorvjobvthatvcanvbevrecognizedvbyvothers.

PerceivedvLossv-vcorrectvanswer-
Anyvlossvdefinedvbyvthevclientvthatvisvnotvobviousvorvverifiablevtovothers.

MaturationalvorvDevelopmentalvLossv-vcorrectvanswer-
anyvlossvnormallyvexpectedvduevtovthevdevelopmentalvprocessingvofvlife.vThesevloss
esvarevassociatedvwithvnormalvlifevtransitionsvandvhelpvtovdevelopvcopingvskillsv(e.g.,
vchildvleavingvhomevforvcollege.)

, SituationalvLossv-vcorrectvanswer-
anyvunanticipatedvlossvcausedvbyvanvexternalvevent.v(Familyvlosesvhomevtovavtorna
do.)

AnticipatoryvLossv-vcorrectvanswer-Experiencedvbeforevthevlossvhappens.

Kubler-RossvModelvStagesvofvGriefv-vcorrectvanswer-
Denial,vanger,vbargaining,vdepression,vacceptance.

Factorsvinfluencingvloss,vgrief,vandvcopingvability.v-vcorrectvanswer-
Indvcurrentvstagevofvdevelopment,vgender,vinterpersonalvrelationshipvandvsocialvsup
port,vtypevandvsignificancevofvthevloss,vculturevandvethnicity,vspiritualvandvreligiousvb
eliefs/practices,vpriorvexperiencevwithvloss,vsocioeconomicvstatus,

Factorsvthatvincreasevriskvofvcomplicated/dysfunctionalvgrievingv-vcorrectvanswer-
Beingvexceptionalvdependentvonvthevdeceasedvind.,vavpersonvdyingvunexpectedlyvat
vavyoungvagevthroughvviolencevorvinvavsociallyvunacceptablevmanner,vinadequatevco
pingvskills,vlackvofvsocialvsupport.

NursingvInterventionsvforvGrievingvProcessv-vcorrectvanswer-
Facilitatevmourningv(grantvtimevforvgrievingvprocess),vtherapeuticvcommunicationvrel
atedvtovclientsvstagevofvgrief,vactivevlistening,vsilencevandvpersonalvpresence,vsumm
arizingvwhatvthevclientvisvfeeling,vavoidvfalsevreassurance,vassessvforvineffectivevcop
ing,vencouragevsupportvgroupvattendance,vspiritualvadvisorvifvappropriate,vmentalvhe
althvcounselors.

PalliativevCarev-vcorrectvanswer-
Carevdesignedvnotvtovtreatvanvillnessvbutvtovprovidevphysicalvandvemotionalvcomfortv
tovthevpatientvandvsupportvandvguidancevtovhisvorvhervfamily.

HospicevCarev-vcorrectvanswer-
Medicalvcarevisvstoppedvandvqualityvofvlifevandvsupportingvthevclientvtovavpeacefulva
ndvdignifiedvdeath.vLifevexpectancyvunderv6vmonths.

CharacteristicsvofvDiscomfortv-vcorrectvanswer-
pain,vanxiety,vrestlnessness,vdyspnea,vnauseavorvvomiting,vdehydration,vdiarrhea,vc
onstipation,vurinaryvincontinence,vinabilityvtovperformvADLs

Manifestationsvofvapproachingvdeathv-vcorrectvanswer-
LOCvdecreases,vmusclevrelaxationvofvthevface,vlaboredvbreathingv(dyspnea,vapnea,v
cheyne-
stokes),vdeathvrattle,vhearingvisvnotvdiminished,vtouchvdiminishedvbutvcanvfeelvpress
urevofvtouch,vmucousvcollectingvinvairways,vmottling,vincontinence,vpupilsvnovlongerv
reactivevtovlight,vpulsevslowvandvweak,vBPvdrops,vcoolvextrems,vdecreasedvurinevout
put,vinabilityvtovswallow.

NursingvInterventionsvforvEndvofvLifevPhysicalvCare:v-vcorrectvanswer-
Givevpriorityvtovcontrollingvfindings,vadminvmedsvthatvmanagevpain,vairvhungervandva
nxiety,vongoingvassessment,vrepositionvforvairwayvandvcomfort,vmaintainvintegrityvorv