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 family
DEVELOPING YOUR
KNOWLEDGE BASE
FILL-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
Copyright © 2011 Wolters Kluwer Health | Lippincott Williams & Wilkins. Study Guide for Fundamentals of Nursing:
LWBK696-C43_p297-304.qxd 9/3/10 12:37 PM Page 299 Aptara Inc