Chapter 42 Loss, Grief, and Dying

Chapter 42  Loss, Grief, and Dying

Complete Chapter Questions And Answers
 

Sample Questions

1.
As decisions related to health care become increasingly complex, nurses need to be familiar with concepts related to advance directives. Which statement regarding advance directives is correct?
A)
Hospitals are legally required to inform clients about advance directives.
B)
The status of advance directives remains consistent from state to state.
C)
Advance directives should be developed with the assistance of a physician or nurse.
D)
Nurses can be appointed a surrogate decision maker by the client.
Ans:
A

Feedback:

The Patient Self-Determination Act of 1990 requires all hospitals to inform their clients about advance directives. The status of advance directives varies from state to state. Clients appoint a family member or close friend as a surrogate decision maker, not a nurse or health care professional. Advance directives are developed by the client; nurses and physicians may play a role in providing education related to advance directives, but their role is not essential.

2.
A woman has had a breast removed to treat cancer. What type of loss will she most likely experience?
A)
Actual loss
B)
Perceived loss
C)
Maturational loss
D)
Anticipatory loss
Ans:
A

Feedback:

Loss occurs when a valued person, object, or situation is changed or made inaccessible so that its value is diminished or removed. Actual loss can be recognized by others as well as by the person sustaining the loss.

3.
Which of the following is an example of a perceived loss?
A)
A client mourns the loss of his amputated leg.
B)
A client grieves for the loss of his wife to cancer.
C)
An older client grieves for the loss of his independence.
D)
A client grieves for the loss of his job.
Ans:
C

Feedback:

Perceived loss, such asloss of youth, of financial independence, and of a valued environment, is experienced by the person but is intangible to others. Answers A, B, and D are actual loss and can be recognized by others as well as by the person sustaining the loss; for example, loss of a limb, of a child, of a valued object such as money, and of a job.

4.
A man is diagnosed with terminal kidney failure. His wife demonstrates loss and grief behaviors. What type of loss is the wife experiencing?
A)
Maturational loss
B)
Anticipatory loss
C)
Dysfunctional grieving
D)
Bereavement
Ans:
B

Feedback:

Anticipatory loss occurs when a person displays loss and grief behaviors for a loss that has yet to take place. It is often seen in the families of clients with serious or life-threatening illnesses, and serves to lessen the effect of the actual loss of a family member.

5.
Which one of the following statements accurately describes the process known as grief reaction?
A)
Reactions to grief and dying are different.
B)
Reactions to grief are similar for all people.
C)
Reactions to grief follow all stages of the grieving process.
D)
Reactions to grief may differ from client to family.
Ans:
D

Feedback:

Reactions to grief and dying are similar. The stages of these reactions overlap and vary among individuals. One person may skip a reaction stage, whereas another may repeat an earlier stage. Each person is different, and clients and family members may be at different reaction stages. More important than the actual stages of any given grief reaction is the idea that grief is a process that varies from person to person.