Chapter 17 Loss, Grief, & Dying

Chapter 17  Loss, Grief, & Dying

Multiple Choice

Identify the choice that best completes the statement or answers the question.

____ 1. A 73-year-old patient who suffered a stroke is being transferred from the acute care hospital to a nursing home for ongoing care because she is unable to care for herself at home. Which type of loss is this patient most likely experiencing?
1)

Environmental loss 2)
Internal loss
3)

Perceived loss
4)
Psychological loss

ANS: 1
This patient is most likely experiencing an environmental loss because she is unable to return to her familiar home setting. Instead, she is being transferred to the new environment of a nursing home. Internal, perceived, and psychological losses are internal and can only be identified by the person experiencing them.

PTS: 1 DIF: Easy REF: p. 358
KEY: Nursing process: Assessment | Client need: PSI | Cognitive level: Application

____ 2. According to William Worden, which task in the grieving process takes longest to achieve?
1)
Accepting that the loved one is gone

2)
Experiencing the pain from the loss
3)
Adjusting to the environment without the deceased 4)
Investing emotional energy

ANS: 1

Worden described the tasks a grieving person must achieve. They progress from an

initial numbness or denial through experiencing and working through pain and grief and eventually moving on with life. Shock with disbelief is not a Worden task.

PTS: 1 DIF: Easy REF: p. 359

Treas Fundamentals TB17-2 Test Bank, Chapter 17

KEY: Nursing process: N/A | Client need: PSI | Cognitive level: Recall

____ 3. What emotional response is typical during the Rando’s confrontation phase of the grieving process?
1)
Anger and bargaining

2)
Shock with disbelief 3)
Denial
4)
Emotional upset

ANS: 4
During the confrontation phase, the person faces the loss and experiences emotional upset. In the avoidance phase, the person experiences shock, disbelief, denial, anger, and bargaining. During the accommodation phase, the person begins to live with the loss, feel better, and resume routine activities.

PTS: 1 DIF: Moderate REF: p. 359
KEY: Nursing process: Assessment | Client need: PSI | Cognitive level: Recall

____ 4. An elderly man lost his wife a year ago to cardiovascular disease. During a healthcare visit, he tells the nurse he has begun adjusting to life without his wife. According to John Bowlby, which stage of grief does this comment most likely indicate? 1)

Shock and numbness 2)
Yearning and searching 3)

Disorganization and despair 4)
Reorganization

ANS: 4
According to Bowlby, a person adjusts to life without the deceased during the reorganization phase. During the shock and numbness phase, the person experiences disorientation and a feeling of helplessness. The person wants to be reconnected with the deceased during the yearning and searching phase. The person feels pain and the emotions of grief during the disorganization and despair phase.

PTS: 1 DIF: Moderate REF: p. 359

Treas Fundamentals TB17-3 Test Bank, Chapter 17

KEY: Nursing process: Assessment | Client need: PSI | Cognitive level: Application