Chapter 28 The Bereaved Individual

Chapter 28  The Bereaved Individual

Complete Chapter Questions And Answers
 

Sample Questions

____ 1. A client is diagnosed with terminal cancer. Which situation represents Kübler-Ross’s grief stage of “anger”?
1.
The client registers for an Ironman marathon to be held in 9 months.
2.
The client is a devout Catholic but refuses to attend church and states that his faith has failed him.
3.
The client promises God to give up smoking if allowed to live long enough to witness a grandchild’s birth.
4.
The client gathers family in order to plan a funeral and make last wishes known.

____ 2. A nurse is caring for an Irish client who has recently lost his wife. The client tells the nurse that he is planning an elaborate wake and funeral. According to George Engel, what purpose would these rituals serve?
1.
To delay the recovery process initiated by the loss of the client’s wife
2.
To facilitate the acceptance of the loss of the client’s wife
3.
To avoid dealing with grief associated with the loss of the client’s wife
4.
To eliminate emotional pain related to the loss of the client’s wife

____ 3. A nurse discharges a female client to home after delivering a stillborn infant. The client finds that neighbors have dismantled the nursery that she and her husband planned. According to Worden, how could this intervention affect the woman’s grieving task completion?
1.
This intervention may hamper the woman from continuing a relationship with her infant.
2.
This intervention would help the woman forget the sorrow and move on with life.
3.
This intervention communicates full support from her neighbors.
4.
This intervention would motivate the woman to look to the future and not the past.

____ 4. A teenager has recently lost a parent. Which grieving behavior should a school nurse expect when assessing this client?
1.
Denial of personal mortality
2.
Preoccupation with the loss
3.
Clinging behaviors and personal insecurity
4.
Acting-out behaviors, exhibited in aggression and defiance

Answer Section

MULTIPLE CHOICE

1. ANS: 2
Chapter: Chapter 28, The Bereaved Individual
Objective: Discuss theoretical perspectives of grieving as proposed by Elisabeth Kübler-Ross, John Bowlby, George Engel, and J. William Worden.
Page: 759
Heading: Theoretical Perspectives on Loss and Bereavement > Elisabeth Kübler-Ross
Integrated Processes: Assessment
Client Need: Safe and Effective Care Environment: Management of Care
Cognitive Level: Application [Applying]
Concept: Grief and Loss
Difficulty: Moderate

Feedback
1
This is stage one, or denial.
2
The nurse should assess that the client is in the “anger” stage of grieving when the client refuses to attend church and states that his faith has failed him. Anger is the second stage of Kübler-Ross’s grief process, in which the reality of the situation is realized, and the individual has feelings of sadness, guilt, shame, helplessness, and hopelessness.
3
This is the bargaining stage.
4
This is stage five, or acceptance.

PTS: 1 CON: Grief and Loss

2. ANS: 2
Chapter: Chapter 28, The Bereaved Individual
Objective: Discuss theoretical perspectives of grieving as proposed by Elisabeth Kübler- Ross, John Bowlby, George Engel, and J. William Worden.
Page: 760
Heading: Theoretical Perspectives on Loss and Bereavement > George Engel
Integrated Process: Nursing Process
Client Need: Safe and Effective Care Environment: Management of Care
Cognitive Level: Application [Applying]
Concept: Grief and Loss
Difficulty: Moderate

Feedback
1
These rituals do not serve to delay the recovery process initiated by the loss of the client’s wife.
2
The nurse should anticipate that the purpose of these rituals is to facilitate the acceptance of the loss of the client’s wife. Resolution of the loss is the fourth stage in Engel’s grief process, in which the bereaved experiences a preoccupation with the loss, which gradually decreases over time.
3
These rituals do not serve to avoid dealing with grief associated with the loss of the client’s wife.
4
These rituals do not serve to eliminate emotional pain related to the loss of the client’s wife.

PTS: 1 CON: Grief and Loss

3. ANS: 1
Chapter: Chapter 28, The Bereaved Individual
Objective: Discuss theoretical perspectives of grieving as proposed by Elisabeth Kübler- Ross, John Bowlby, George Engel, and J. William Worden.
Page: 760
Heading: Theoretical Perspectives on Loss and Bereavement > J. William Worden
Integrated Processes: Nursing Process
Client Need: Safe and Effective Care Environment: Management of Care
Cognitive Level: Application [Applying]
Concept: Grief and Loss
Difficulty: Moderate

Feedback
1
The nurse should anticipate that this intervention could hinder the woman from continuing a relationship with her infant. The first task in Worden’s grief process is to accept the reality of the loss. It is common for individuals to refuse to believe that the loss has occurred.
2
This intervention could complicate the grieving process.
3
The intervention could isolate the women from others.
4
This intervention could prevent the women from grieving the loss and moving forward.

PTS: 1 CON: Grief and Loss

4. ANS: 4
Chapter: Chapter 28, The Bereaved Individual
Objective: Discuss grieving behaviors common to individuals at various stages across the life span.
Page: 764–765
Heading: Application of the Nursing Process > Adolescents
Integrated Processes: Nursing Process
Client Need: Safe and Effective Care Environment: Management of Care
Cognitive Level: Application [Applying]
Concept: Grief and Loss
Difficulty: Moderate

Feedback
1
The nurse would not expect denial of personal mortality.
2
The nurse would not expect preoccupation with the loss.
3
The nurse would not expect clinging behaviors and personal insecurity.
4
The school nurse should anticipate that the teenager will exhibit aggression and acting out. Adolescents have the ability to understand death on an adult level yet have difficulty tolerating the intense feelings associated with the death of a loved one. It is often easier for adolescents to talk with peers about feelings than with other adults.

PTS: 1 CON: Grief and Loss