Chapter 25 Loss And Grief

Chapter 25  Loss And Grief

Complete Chapter Questions And Answers
 

Sample Questions

MULTIPLE CHOICE

1. A terminally ill client has died and the spouse is demonstrating grief. This response is:
a.
primarily a psychological response following a loss.
b.
primarily a physical response following a loss.
c.
usually a one-time response to a loss.
d.
a series of intense physical and psychological responses following a loss.

ANS: D
Grief is a series of intense physical and psychological responses that occur following a loss. The other choices do not describe the scope of grief and are incorrect.

PTS: 1 DIF: Analysis REF: Grief

2. The nurse, reviewing theories of grieving, realizes that one theorist describes three stages of mourning as shock and disbelief, developing awareness, and restitution and resolution. This theorist would be:
a.
Lindemann.
c.
Worden.
b.
Engle.
d.
Bowlby.

ANS: B
In Engle’s theory of grief, there are three stages of mourning: shock and disbelief, developing awareness, and restitution and resolution. Lindemann identified five reactions to normal grief. Bowlby identified four phases of grief. Worden identified four tasks that a person needs to accomplish in order to successfully deal with a loss.

PTS: 1 DIF: Analysis
REF: Engle’s Theory of Grief: Three Stages of Mourning

3. The nurse, reviewing theories of grieving and loss, realizes which theorist identified four tasks that an individual must perform to successfully deal with a loss?
a.
Lindemann
c.
Worden
b.
Engle
d.
Kübler-Ross

ANS: C
Worden identified four tasks that an individual must perform in order to successfully deal with a loss. Lindemann identified five reactions to normal grief. Engle identified three stages of mourning. Kübler-Ross identified five stages of death and dying.

PTS: 1 DIF: Analysis REF: Theories of the Grieving Process: Worden

4. The nurse caring for a terminally ill client notes that the spouse is beginning to distance himself from the client. The nurse suspects that the spouse is exhibiting which of the following?
a.
Mourning
c.
Grief work
b.
Bereavement
d.
Anticipatory grief

ANS: D
Anticipatory grief is the occurrence of grief work before an expected loss. Mourning is the period of time during which the grief is expressed and resolution and integration of the loss occurs. Bereavement is the period of grief following the death of a loved one. Grief work is an experience of freedom from attachment to the deceased, a reorientation to the environment, and an establishment of new relationships.

PTS: 1 DIF: Analysis REF: Types of Grief: Anticipatory Grief

5. The nurse is concerned that a client is experiencing dysfunctional grief over the death of her spouse because the client is:
a.
demonstrating the physical illness of the deceased.
b.
preoccupied with thoughts of the deceased.
c.
unable to adapt to life without the deceased person.
d.
demonstrating emotional lability.

ANS: C
Evidence of a dysfunctional grief reaction would be that the client is unable to adapt to life without the deceased person. The other choices are not evidence of a dysfunction grief response.

PTS: 1 DIF: Analysis REF: Types of Grief: Dysfunctional Grief