NUR 215 - Exam 4 2025 Questions
and Answers 100% Pass
actual loss - ✔✔loss that can be recognized by others as well as by the person
sustaining the loss, such as loss of a limb or a spouse
perceived loss - ✔✔uniquely defined by the person experiencing the loss and is less
obvious to other people
Physical loss vs. psychological loss - ✔✔Physical loss is an alteration of our physical self
like amputation, removal of an organ, or loss of function whereas psychological loss
challenge ones belief system and often have to do with things like sexuality, fairness,
meaning and trust.
external loss - ✔✔actual losses of objects that are important to the person because of
their cost or sentimental value
uncomplicated grief - ✔✔universal, has a clear onset and a predictable course, and does
not require treatment
Stages of Grief (Kubler-Ross) - ✔✔- denial, anger, bargaining, depression, acceptance
- states may not occur in order and may be repeated
denial stage of grief - ✔✔Refusing to accept the fact that the loss has occurred
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,anger stage of grief - ✔✔The person may feel powerless and unfairly deprived. These
feelings are often experienced as anger.
Bargaining (stage of grief) - ✔✔As the reality of the loss sets in, the person may try to
make promises to change in the hope of bringing back what has been lost.
depression stage of grief - ✔✔person realizes full impact of the loss; overwhelming
sadness, hopelessness, and loneliness
acceptance stage of grief - ✔✔person incorporates the loss into life; develops the
capacity to have a breadth of emotions, even positive ones; finds ways to move forward
factors affecting grief - ✔✔significance of the loss
support system
unresolved conflict
circumstances of the loss
previous loss
spiritual/cultural beliefs and practices
timeliness of death
developmental stage of the bereaved
dysfunctional (complicated grief) - ✔✔grief that is complicated and prolonged beyond
what is normally expected; responses may be maladaptive, dysfunctional and
overwhelming
chronic grief - ✔✔excessive in duration and never comes to a satisfactory conclusion
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, masked grief - ✔✔A type of grief reaction when the person experiences symptoms and
behavior which causes them difficulty, but they do not see or recognize the fact that
these are related to the loss
delayed grief - ✔✔grief that is put off until a later time
disenfranchised grief - ✔✔A situation in which certain people, although they are
bereaved, are prevented from mourning publicly by cultural customs or social
restrictions.
anticipatory grief - ✔✔grief experienced prior to a loss
physiological stages of dying - ✔✔1 to 3 months prior to death - begin to withdraw
from others decreased appetite
1 to 2 weeks prior to death - brief period of apnea, cardiovascular deterioration, yellow
pallor to the skin,
Days to hours prior to death - mental surge of clarity decreased blood pressure,
dehydration, difficulty swallowing, cheyne-stokes respirations, clammy skin, decreased
urinary output, incontinence, muscle relaxation,
blurry vision, "seeing things" others cannot see, restlessness and agitation.
Moments prior to death - don't respond to touch or stimulation, typically a short series
of long-spaced breaths before breathing ceases entirely and the heart stops beating
palliative care - ✔✔supportive medical and nursing care for patient, families and
caregivers; promoting continuity of care, ensuring respect for persons, addressing
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and Answers 100% Pass
actual loss - ✔✔loss that can be recognized by others as well as by the person
sustaining the loss, such as loss of a limb or a spouse
perceived loss - ✔✔uniquely defined by the person experiencing the loss and is less
obvious to other people
Physical loss vs. psychological loss - ✔✔Physical loss is an alteration of our physical self
like amputation, removal of an organ, or loss of function whereas psychological loss
challenge ones belief system and often have to do with things like sexuality, fairness,
meaning and trust.
external loss - ✔✔actual losses of objects that are important to the person because of
their cost or sentimental value
uncomplicated grief - ✔✔universal, has a clear onset and a predictable course, and does
not require treatment
Stages of Grief (Kubler-Ross) - ✔✔- denial, anger, bargaining, depression, acceptance
- states may not occur in order and may be repeated
denial stage of grief - ✔✔Refusing to accept the fact that the loss has occurred
COPYRIGHT © 2025 BY GRACE AMELIA, ALL RIGHTS RESERVED 1
,anger stage of grief - ✔✔The person may feel powerless and unfairly deprived. These
feelings are often experienced as anger.
Bargaining (stage of grief) - ✔✔As the reality of the loss sets in, the person may try to
make promises to change in the hope of bringing back what has been lost.
depression stage of grief - ✔✔person realizes full impact of the loss; overwhelming
sadness, hopelessness, and loneliness
acceptance stage of grief - ✔✔person incorporates the loss into life; develops the
capacity to have a breadth of emotions, even positive ones; finds ways to move forward
factors affecting grief - ✔✔significance of the loss
support system
unresolved conflict
circumstances of the loss
previous loss
spiritual/cultural beliefs and practices
timeliness of death
developmental stage of the bereaved
dysfunctional (complicated grief) - ✔✔grief that is complicated and prolonged beyond
what is normally expected; responses may be maladaptive, dysfunctional and
overwhelming
chronic grief - ✔✔excessive in duration and never comes to a satisfactory conclusion
COPYRIGHT © 2025 BY GRACE AMELIA, ALL RIGHTS RESERVED 2
, masked grief - ✔✔A type of grief reaction when the person experiences symptoms and
behavior which causes them difficulty, but they do not see or recognize the fact that
these are related to the loss
delayed grief - ✔✔grief that is put off until a later time
disenfranchised grief - ✔✔A situation in which certain people, although they are
bereaved, are prevented from mourning publicly by cultural customs or social
restrictions.
anticipatory grief - ✔✔grief experienced prior to a loss
physiological stages of dying - ✔✔1 to 3 months prior to death - begin to withdraw
from others decreased appetite
1 to 2 weeks prior to death - brief period of apnea, cardiovascular deterioration, yellow
pallor to the skin,
Days to hours prior to death - mental surge of clarity decreased blood pressure,
dehydration, difficulty swallowing, cheyne-stokes respirations, clammy skin, decreased
urinary output, incontinence, muscle relaxation,
blurry vision, "seeing things" others cannot see, restlessness and agitation.
Moments prior to death - don't respond to touch or stimulation, typically a short series
of long-spaced breaths before breathing ceases entirely and the heart stops beating
palliative care - ✔✔supportive medical and nursing care for patient, families and
caregivers; promoting continuity of care, ensuring respect for persons, addressing
COPYRIGHT © 2025 BY GRACE AMELIA, ALL RIGHTS RESERVED 3
