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concepts of nursing
Grief And Death
| Question | Answer |
|---|---|
| Place these Kubler-Ross stages of grief in the order in which they are experienced by a dying patient. | 1. Refusing to believe the reality of death 2. Wondering, "Why is this happening to me?" 3. Offering anything to keep living 4. Giving up hope |
| Place the Bowlby stages of grief in the order in which they are experienced. | 1. Inability to feel emotion 2. Emergence of strong negative emotions and longing for the deceased 3. Withdrawal and pain surface as longing for deceased diminishes 4. Ability to live life without the deceased |
| A patient who has recently lost a child finally gives away the child’s clothes. Which of Sheldon’s stages of grief has the patient completed? | C. Initial shock |
| “I do not feel any pain.” | Shock and numbness |
| “I want to be left alone.” | Disorganization and despair |
| “I think I am going to be okay.” | Reorganization |
| “I am so furious that this happened.” | Searching and yearning |
| Place Sheldon’s stages of grief in the order in which they are experienced. | 1. A feeling of disbelief 2. A deep sadness at the loss of the deceased 3. Inability to live without the deceased 4. Building a life without the deceased |
| Which problems reported by a patient may represent cognitive reactions to a loss? | Difficulty performing daily tasks Inability to remember the day of the week |
| Place the necessary tasks of grieving and mourning in order, according to Worden. | 1.Not believing the loss 2. Acknowledging the loss 3. Making necessary changes to adjust to the loss 4. Developing new relationships |
| A patient who has recently suffered a loss presents with insomnia and loss of appetite. Which type of reaction to the loss is the patient experiencing? | Physical |
| Immediate burial | Islam |
| Involvement of rabbi | Judaism |
| Cremated ashes scattered in sacred rivers | Hinduism |
| According to Worden, which physical adjustments are necessary for the bereaved to restructure and redefine life after a loss? | Restructuring financial responsibilities Removing the deceased's clothes and personal items Finding other avenues of support and companionship |
| Which reactions are examples of bereavement? | Wearing black for a period after the loss Excessive crying Insomnia Sorrow |
| Which factors influence the grieving process of a female patient who suffers the loss of a close male friend who was of a similar age? | The manner of death The age of the deceased The gender of the patient The relationship between the patient and the deceased |
| A patient who cared for a dying parent presents with an acute illness after the parent’s death. How does the health of the patient affect the grief process? | Illness may interfere with the ability to cope with loss |
| A patient is struggling with the loss of a family member to suicide. Which factors may affect the way that this patient copes with the loss? | Fact that the deceased was family Manner in which the family member died |
| Grieving of a dream | Stillbirth |
| Threatens the sense of security | Loss related to murder |
| Feelings of shame, fear, guilt, rejection, and anger | Loss related to suicide |
| Feeling of a loss of control | Loss related to sudden death |
| Spiritual beliefs can offer comfort and support | Religion |
| Grief counseling can help people cope with intense emotions | Social support |
| People with a higher education can obtain more support and coping skills | Socioeconomic status |
| Which situations describe a person experiencing complicated grief? | A person searches for the deceased many months after the death. A person is not able to maintain normal daily routines because of the grief. A person is still actively grieving the death of a friend 2 years after the death. |
| A patient who has recently loss a spouse refuses to bathe, dress, or get out of bed until the spouse comes home. Which type of grief is the patient experiencing? | Exaggerated |
| Turning to alcohol to cope | Exaggerated |
| Avoidance of coping with grief | Delayed |
| Intense grief 8 months after the death | Chronic |
| Failure to recognize the intensity of grief | Masked |
| Which behaviors suggest a person is experiencing complicated grief? | Questioning the reality of the death Expressing deep need for the deceased Avoiding restaurants and stores the deceased frequented |
| A person has turned to excessive alcohol use to numb the pain of losing a close relative and can no longer function at work. Which type of grief is this patient experiencing? | Exaggerated |
Created by:
colby.caswell