CH 42 - Loss, Grief, and Dying

C. Idealization Rationale: Idealization is the exaggeration of the good qualities the person or object had, followed by acceptance of the loss. Shock and disbelief are defined as refusal to accept the loss, followed by a stunned response. Restitution involves the rituals surrounding the loss. Outcome involves dealing with the loss as a common life occurrence.

A person who exaggerates the good qualities of his recently deceased father is experiencing what stage of Engel's grief? A. Shock and disbelief B. Restitution C. Idealization D. Outcome

D. Perceived loss Rationale: Perceived loss is felt by the person, but intangible to others, as is the case with loss of financial independence. Physical loss and actual loss can be recognized by others as well as the person sustaining the loss. Psychological loss may be caused by an altered self-image.

An elderly person who is placed in a nursing home by his family is remorseful about the loss of his financial independence. What is the term for the type of loss he is experiencing? A. Physical loss B. Psychological loss C. Actual loss D. Perceived loss

Shock and disbelief Developing awareness Restitution Resolving the loss Idealization Outcome

Engel's Six Stages of Grief

Advance Directives

Indicate who will make decisions for the patient in case the patient is unable. Indicate the kind of medical treatment the patient wants or doesn't want. Indicate how comfortable the patient wants to be. Indicate how the patient wants to be treated by others. Indicate what the patient wants loved ones to know.

Denial and isolation Anger Bargaining Depression Acceptance

Kübler-Ross's Five Stages of Grief

Actual loss Perceived loss Physical loss versus psychological loss Maturational loss Situational loss: Anticipatory loss:

can be recognized by others is felt by person but intangible to others Physical loss versus psychological loss experienced as a result of natural developmental process experienced as a result of an unpredictable event loss has not yet taken place

Grief Bereavement Mourning

internal emotional reaction to loss state of grieving from loss of a loved one actions and expressions of grief that make up outward expression of grief

B. False Rationale: A durable power of attorney appoints an agent, trusted by the person who is ill, to make decisions in the event of subsequent incapacity.

true or false. A living will appoints an agent, trusted by the person who is ill, to make decisions in the event of subsequent incapacity. A. True B. False

B. False Rationale: More important than the actual stages of any given grief reaction is the idea that grief is a process that varies from person to person.

true or false. More important than the actual stages of any given grief reaction is the idea that grief is a process that is the same from person to person. A. True B. False

A. True Rationale: The goal of palliative care is to give patients with life-threatening illnesses the best quality of life they can have by the aggressive treatment of symptoms.

true or false. The goal of palliative care is to give patients with life-threatening illnesses the best quality of life they can have by the aggressive treatment of symptoms. A. True B. False

Definition of Death Act

: An individual who has sustained either (1) irreversible cessation of all functions of circulatory and respiratory functions or (2) irreversible cessation of all functions of the entire brain, including the brainstem, is dead.

Medical criteria used to certify a death

: cessation of breathing, no response to deep painful stimuli, and lack of reflexes (such as the gag or corneal reflex) and spontaneous movement