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List several physical reactions to grief that can continue for weeks or months following a loss.

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Physical reactions that can co...

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Write a paragraph explaining why it is beneficial to inform patients that they are dying rather than protecting them from this knowledge.

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Answers will vary but should discuss som...

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Chapter 18 discusses the importance of accepting impending death. However, many people in our society believe it is important to "stay positive" and "never give up hope" because "miracles do happen." What are your feelings about each of these approaches to dying? As a health care professional, how might these feelings influence your interactions with dying patients or their families?

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As a health care professional, it is imp...

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List several advantages to dying at home.

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Some advantages of dying at home are tha...

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Give examples of emotional relief to be provided by palliative care.

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Emotional relief may include emotional support to relieve the patient's anxiety, as well as to help the patient accept the dying process and grieve for impending losses.

When a patient feels tremendous sorrow about impending death, he or she has reached the _______ stage.


A) denial
B) anger
C) bargaining
D) depression
E) acceptance

F) B) and C)
G) A) and D)

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D

Which can inhibit the grief process?


A) a sudden death
B) unresolved past grief
C) using drugs or alcohol to cope with emotions
D) resuming normal activities too early
E) all of the above

F) D) and E)
G) A) and B)

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Hyperactivity, inappropriate feelings, physical illness, hostility, depression, or lack of feeling can be signs of _______


A) the grief process.
B) bereavement.
C) unresolved grief.
D) denial.

E) A) and B)
F) A) and C)

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Give several guidelines for health care professionals who are assisting the family of a dying patient.

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Answers will vary. Sample answer:  
Gui...

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For many survivors, making funeral arrangements and attending the funeral or memorial service _______


A) are unnecessarily painful.
B) provide a chance to say goodbye.
C) postpone the grief process.
D) are none of the above.

E) All of the above
F) None of the above

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Indicate whether each of the actions below is appropriate or inappropriate when caring for a dying person.

Premises
Allowing the patient to express feelings about dying.
Saying, "Don't think about dying. You need to focus on getting well."
Provide touch as appropriate to comfort the patient.
Lecturing the patient about religious matters.
If the patient asks to be left alone, respect his or her wishes.
Calling a minister, rabbi, or priest if the patient requests it.
Responses
inappropriate
appropriate

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Allowing the patient to express feelings about dying.
Saying, "Don't think about dying. You need to focus on getting well."
Provide touch as appropriate to comfort the patient.
Lecturing the patient about religious matters.
If the patient asks to be left alone, respect his or her wishes.
Calling a minister, rabbi, or priest if the patient requests it.

Give examples of physical relief to be provided by palliative care.

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Physical relief may ...

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Changing doctors repeatedly, acting as though nothing is wrong, refusing to talk about the illness, and refusing treatment are manifestations of _______


A) denial.
B) anger.
C) bargaining.
D) depression.
E) acceptance.

F) None of the above
G) A) and C)

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List several immediate physical effects of grief.

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The immediate physical effects...

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How is the health care professional's role different when assisting a dying patient as compared to assisting a patient who is likely to recover?

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When assisting a dying patient, the heal...

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Match each statement to the stage of grief it exemplifies. A letter may be used more than once.

Premises
Just give me another chance! I promise I'll do better!
This is all the doctor's fault! I don't think she used the best treatment.
Why did this happen to me? It's not fair!
I have nothing left to live for.
If only I had been more careful, maybe he would not have died.
There must be some mistake; it can't be true!
I feel hopeless. Nothing will ever be the same.
I can't change what happened. I am going to move forward with my life.
Responses
anger
depression
denial
bargaining
acceptance

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Just give me another chance! I promise I'll do better!
This is all the doctor's fault! I don't think she used the best treatment.
Why did this happen to me? It's not fair!
I have nothing left to live for.
If only I had been more careful, maybe he would not have died.
There must be some mistake; it can't be true!
I feel hopeless. Nothing will ever be the same.
I can't change what happened. I am going to move forward with my life.

Describe a time you have experienced some or all of the five stages of grief. The loss involved may be large or small.

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One time I experienced the five stages o...

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Which statement is least likely to be true?


A) Some patients remain in denial up until the time of death.
B) Some patients reach acceptance fairly easily.
C) All patients go through the five stages of dying.
D) Some patients never reach acceptance.

E) None of the above
F) C) and D)

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Explain the focus of palliative care.

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Palliative care focuses on providing phy...

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Which is often an immediate reaction to sudden or unexpected death?


A) anticipatory grief
B) bargaining
C) shock
D) anger

E) None of the above
F) All of the above

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C

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