NURS663 Exam 3 test review
How Toddlers/Preschoolers Display Grief (Ans-
- Regression, questions, confusion.
- Think death is temporary
o Interventions: Hold child, reassure calmly, provide extra attention
How Elementary School-age Children Display Grief (Ans-
- Regression, questions, repetitive questions, fear of death.
- Starting to understand irreversibility of death, interest in body and details
- Provide extra attention, tell truth, reassure, encourage physical/artistic
expression of grief
How Adolescents Display Grief (Ans-
- "adult like response", denial, anger, depression.
- Have ability to think abstractly, can conceptualize death.
- Seek community/school support, maintain structure, limits, and rules
Children's Response to Terminal Illness (Ans- Often aware of condition, want to discuss it.Need reassurance they're loved and have done nothing wrong.Need to stay involved in care and prognosis.
Adolescent's Response to Terminal Illness (Ans- · Fears of losing control, being imperfect, and being different.Potential for withdrawal and isolation is high.Must be included in all decisions surrounding their death.
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Adult's Response to Terminal Illness (Ans- · Fears of being separated from loved ones, home, and jobs, becoming a burden, losing control, what will happen to loved ones, pain, afterlife,
Older Adult's Response to Terminal Illness (Ans- Often accept their time has come.Fear of long, painful, disfiguring deaths.Integrity vs. despair
Five Stages of Grief (Ans- Denial, bargaining, depression, anger, acceptance
Palliative Care vs. Hospice Care (Ans-
Palliative:
-Any stage of disease -Same time as curative treatment -typically in healthcare setting -Less reliance on family caregivers, more on medical professionals
Hospice:
-Prognosis of 6 months or less -Excludes curative treatment -Occurs in patient's home or facility -Relies heavily on family caregivers
Both:
-Comfort care -Reduce stress -Symptom relief -Physical and psychosocial relief
Cluster A personality disorders (odd/eccentric) (Ans-
- Paranoid
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