NURS 208 Final Exam Review with correct ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
answers
Grief
■ The total response to the emotional experience
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
related to loss. ||\\||\\ ||\\||\\
■ Grief is manifested in thoughts, feelings, and
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
behaviors associated with overwhelming distress or ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
sorrow
Bereavement
The subjective response experienced by the
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
surviving loved ones ||\\||\\ ||\\||\\
Mourning
,The behavioral process through which grief is
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
eventually resolved or altered; it is often influenced ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
by culture, spiritual beliefs, and custom
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
Anticipatory grief ||\\||\\
Experienced in advance of the event such as the wife ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
who grieves before her ailing husband dies.
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
A young person may grieve before an operation that
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
will leave a scar. ||\\||\\ ||\\||\\ ||\\||\\
Disenfranchised grief ||\\||\\
Occurs when a person is unable to acknowledge the ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
loss to other people. ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
These situations often relate to a socially ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
unacceptable loss that cannot be spoken about ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
EXAMPLES: suicide, abortion, giving a child up for ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
adoption, homosexuality or extramarital ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
relationships
Complicated Grief ||\\||\\
AKA: persistent complex bereavement disorder ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
,Exists when the strategies to cope with the loss are
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
maladaptive and out of proportion or inconsistent ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
with cultural, religious, or age-appropriate norms.
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
Lasts for more than 6 months and leads to reduced
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
ability to function formally ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
CONTRIBUTING FACTORS a prior traumatic loss, ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
family or cultural barriers to the emotional ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
expression of grief, sudden death, strained ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
relationships between the survivor and the ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
deceased, and lack of adequate support for the ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
survivor
Complicated grief may take several forms ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
Unresolved or chronic grief: extended in length and ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
severity. Same signs are expressed as normal grief, ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
but also have difficulty expressing grief
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
Inhibited grief: many of the normal symptoms of ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
grief are suppressed and other effects, including
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
somatic, are experienced instead. ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
, Delayed grief occurs when feelings are purposely or ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
subconsciously suppressed until a much later time. ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
Exaggerated grief: A survivor who appears to be ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
using dangerous activities as a method to lessen the ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
pain of grieving ||\\||\\ ||\\||\\
Complicated grief signs ||\\||\\ ||\\||\\
■ Fails to grieve; for example, a husband does not cry
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
at, or absents himself from, his wife's funeral.
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
■ Avoids visiting the grave and refuses to participate
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
in memorial services
||\\||\\ ||\\||\\
■ Becomes recurrently symptomatic on the
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
anniversary of a loss or during holidays. ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
■ Develops persistent guilt and lowered self-esteem.
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
■ Even after a prolonged period, the client continues
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
to search for the lost person. Some may consider
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
suicide to affect reunion. ||\\||\\ ||\\||\\ ||\\||\\
■ A relatively minor event triggers symptoms of grief.
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
■ Even after a period of time, the client cannot
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
discuss the deceased with composure; for example, ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
the client's voice cracks and quivers, and eyes
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
answers
Grief
■ The total response to the emotional experience
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
related to loss. ||\\||\\ ||\\||\\
■ Grief is manifested in thoughts, feelings, and
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
behaviors associated with overwhelming distress or ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
sorrow
Bereavement
The subjective response experienced by the
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
surviving loved ones ||\\||\\ ||\\||\\
Mourning
,The behavioral process through which grief is
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
eventually resolved or altered; it is often influenced ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
by culture, spiritual beliefs, and custom
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
Anticipatory grief ||\\||\\
Experienced in advance of the event such as the wife ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
who grieves before her ailing husband dies.
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
A young person may grieve before an operation that
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
will leave a scar. ||\\||\\ ||\\||\\ ||\\||\\
Disenfranchised grief ||\\||\\
Occurs when a person is unable to acknowledge the ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
loss to other people. ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
These situations often relate to a socially ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
unacceptable loss that cannot be spoken about ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
EXAMPLES: suicide, abortion, giving a child up for ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
adoption, homosexuality or extramarital ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
relationships
Complicated Grief ||\\||\\
AKA: persistent complex bereavement disorder ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
,Exists when the strategies to cope with the loss are
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
maladaptive and out of proportion or inconsistent ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
with cultural, religious, or age-appropriate norms.
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
Lasts for more than 6 months and leads to reduced
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
ability to function formally ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
CONTRIBUTING FACTORS a prior traumatic loss, ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
family or cultural barriers to the emotional ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
expression of grief, sudden death, strained ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
relationships between the survivor and the ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
deceased, and lack of adequate support for the ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
survivor
Complicated grief may take several forms ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
Unresolved or chronic grief: extended in length and ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
severity. Same signs are expressed as normal grief, ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
but also have difficulty expressing grief
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
Inhibited grief: many of the normal symptoms of ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
grief are suppressed and other effects, including
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
somatic, are experienced instead. ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
, Delayed grief occurs when feelings are purposely or ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
subconsciously suppressed until a much later time. ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
Exaggerated grief: A survivor who appears to be ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
using dangerous activities as a method to lessen the ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
pain of grieving ||\\||\\ ||\\||\\
Complicated grief signs ||\\||\\ ||\\||\\
■ Fails to grieve; for example, a husband does not cry
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
at, or absents himself from, his wife's funeral.
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
■ Avoids visiting the grave and refuses to participate
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
in memorial services
||\\||\\ ||\\||\\
■ Becomes recurrently symptomatic on the
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
anniversary of a loss or during holidays. ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
■ Develops persistent guilt and lowered self-esteem.
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
■ Even after a prolonged period, the client continues
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
to search for the lost person. Some may consider
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
suicide to affect reunion. ||\\||\\ ||\\||\\ ||\\||\\
■ A relatively minor event triggers symptoms of grief.
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
■ Even after a period of time, the client cannot
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
discuss the deceased with composure; for example, ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
the client's voice cracks and quivers, and eyes
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
