Fundamentals of Nursing Q 292
Which statement about loss is accurate?
A. Loss is only experienced when there is an actual absence of something valued.
B. The more the individual has invested in what is lost, the less the feeling of loss.
C. Loss may be maturational, situational, or both.
D. The degree of stress experienced is unrelated to the type of loss.
Correct Answer: C. Loss may be maturational, situational, or both.
The loss may be actual or perceived and is the absence of something that was valued. An actual loss is recognized and verified by others while others cannot verify a perceived loss. Both are real to the individual who has experienced the loss. Grief is the internal part of the loss; it is the emotional feelings related to the loss.
Option A: The feelings of loss are commonly associated with the death of a loved one, but they can be experienced for a number of reasons. People may experience grief and feelings of loss about a significant change such as the loss of a job, loss of function, loss of a limb, loss of a pet, the feeling of loss of control, and loss of loved ones.
Option B: It is important for the nurse to assist the patient and loved ones in their coping with their grief to include anticipatory grief. Educate them on what is expected to include the stages of grief and what are some normal feelings as well as what are some resources to help adjust to this loss they are experiencing. Evaluate how they are handling this experience and address any fears related to grief and loss.
Option D: Grief may affect individuals differently but can be exhibited through signs and symptoms such as altered immune responses, distress, anger, sleep disturbances, withdrawal, pain, panic, and suffering. It may be evident by one’s lack of understanding of death and its severity and finality of the loss. Encourage loved ones at the bedside to remember to take care of their own health. Remind them or help them have access to food and hydration. Encourage adequate sleep and hygiene.