c.The nurse assumes responsibility for
handling and filing the death certificate
with the proper authorities.
d.A physician’s signature is required on a
death certificate.
e.It is the nurse’s responsibility to ensure
that the physician has signed a death
certificate.
f.A death certificate is signed by the patholo-
gist, the coroner, and others in special
cases.
6.Which of the following are actions performed
by the nurse when a patient dies? (Select all
that apply.)
a.Washing the patient’s body
b.Removing all tubes, unless an autopsy is to
be performed
c.Placing identification on the shroud or
garment and wrist
d.Placing identification tags on the patient’s
dentures or other prostheses
e.Arranging for family members to view
the body before it is discharged to the
mortician
f.Attending the funeral of a deceased
patient and making follow-up visits to
the familyDEVELOPING YOUR
KNOWLEDGE BASEFILL-IN-THE-BLANKS- When an older man grieves for the loss of
 his youth, this type of loss is known as
 loss.
- is the state of grieving during
 which a person experiences grief reaction.
 3.According to Engel, is the final
 resolution of the grief process.
 4.Abnormal or distorted grief that may be unre-
 solved or inhibited is known as
 grief.
 5.According to the Uniform Definition of Death
 Act (1981), death is defined as present when
 an individual has sustained either irreversible
 cessation of circulation and respiratory
 functions or.
 6. care involves taking care of the
 whole person—body, mind, and spirit, heart
 and soul.
MATCHING EXERCISES
Match the term in Part A with the appropriate
definition listed in Part B.
PART A
a.Actual loss
b.Perceived loss
c.Physical loss
d.Psychological loss
e.Anticipatory loss
f.Grief
g.Bereavement
h.Mourning
PART B- The period of acceptance of loss during
 which the person learns to deal with the
 loss
- A type of loss in which a person displays
 loss and grief behaviors for a loss that has
 yet to take place
- A type of loss that can be recognized by
 others as well as by the person sustaining
 the loss
- The state of grieving during which a per-
 son experiences grief reaction
- A type of loss that is felt by the individual
 but is intangible to others, such as loss of
 youth or financial independence
- A type of loss that may be caused by an
 altered self-image and inability to return
 to work
- A type of loss that is tangible, such as the
 loss of a limb or organ
 Match Engel’s six stages of grief listed in Part A
 with the appropriate conversation that may
 occur during each stage listed in Part B.
 PART A
 a.Shock and disbelief
 b.Developing awareness
 c.Restitution
 d.Resolving the loss
CHAPTER 43 LOSS, GRIEF, AND DYING 299
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