Exam (elaborations)
Chapter 36. The Bereaved Individual
- Course
- Psychology
- Institution
- Forest Institute Of Professional Psychology
Chapter 36. The Bereaved Individual
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TownsendPMHN, 10e
Chapter 36 - ETB
abirb.com/test
Chapter 36. The Bereaved Individual
MULTIPLE CHOICE
1. A client is diagnosed with terminal cancer. Which situation would the nurse assess as
reflecting Kübler-Ross’s grief stage of anger?
1. The client registers for an iron-man marathon to be held in 9 months.
2. The client is a devoted 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 livealboirnb.gcoemn/toesut gh to
witness a grandchild’s birth.
4. The client gathers family to plan a funeral and make their last wishes known.
ANS: 2
Chapter: Chapter 36, The Bereaved Individual
Objective: Discuss theoretical perspectives of grieving as proposed by Elisabeth Kübler-
Ross, John Bowlby, George Engel, and J. William Worden.
Page: 820
Heading: Theoretical Perspectives on Loss and Bereavement > Elisabeth Kübler-Ross
Integrated Processes: Nursing Process
Nursing Process: Assessment
Client Need: Psychosocial Integrity
Cognitive Level: Application: [Applying]
Concept: Grief and Loss
Difficulty: Moderate
Feedback
1. This is incorrect. This client’s behaviors reflect the first stage of grief, which is
denial.
2. This is correct. The client’s refusal to attend church and sta t e m e n t th at
a b ir b.c o m /te st
their faith failed them reflect Kübler-Ross’s second stage of grief, which is anger.
During this stage, the reality of the situation is realized, and the individual has feelings
of sadness, guilt, shame, helplessness, and hopelessness.
3. This is incorrect. This client’s behaviors reflect the third
graibeirfb.sctoamg/tees(tbargaining)
during which the individual attempts to strike a bargain with God for a second chance
or forismore
4. This time. This client’s behaviors reflect the fifth st agbierb.ocofmg/treisetf
incorrect.
(acceptance), during which the individual is ready to die and begins to facilitate the
passage by
slowly disengaging from the environment.
CON: Grief and Loss
, Townsend
PMHN, 10e
Chapter 36 - ETB
abirb.com/test
2. The nurse is caring for an Irish client who has recently lost a sapboirub.sceo.mT/tehset
client states to the nurse, “I’m planning an elaborate wake and funeral.” According to George
Engel, which purpose do these rituals serve?
1. To delay the recovery process initiated by the loss of the clienta’bsirbs.pcoomu/tseest
2. To facilitate the acceptance of the loss of the client’s spouse
3. To avoid dealing with grief associated with the loss of the client’s spouse
4. To eliminate emotional pain related to the loss of the client’s spouse
ANS: 2
Chapter: Chapter 36, The Bereaved Individual
Objective: Discuss theoretical perspectives of grieving as proposaebdirbb.cyomE/tleistabeth
Kübler- Ross, John Bowlby, George Engel, and J. William Worden.
Page: 820
Heading: Theoretical Perspectives on Loss and Bereavement > George Engel
Integrated Processes: Nursing Process
Nursing Process: Assessment
Client Need: Psychosocial Integrity
Cognitive Level: Comprehension [Understanding]
Concept: Grief and Loss
Difficulty: Difficult
Feedback
1. This is incorrect. This describes resolution (stage IV). The individual is preoccupied
with the loss.
2. This is correct. During stage III (restitution), rituals (e.g., wabairkbe.cso)ma/tsestociated
with the
culture are performed to assist the individual to accept the reality of the loss and
3. facilitate
This the recovery
is incorrect. This process.
describes stage II (developing awareanbierbs.sc)o.m/test
4. This is incorrect. This describes stage I (shock and disbelief). The individual
attempts to protect themself against the effects of the loss.
CON: Grief and Loss
3. A woman returns home after delivering a stillborn infant to find that neighbors have
dismantled the nursery that she and her spouse planned. According to Worden, which indicates
the effect the neighbors’ action may have on the woman’s grieving task
completion?
1. It may hamper the woman from accepting the reality of the loss.
2. It would help the woman forget the sorrow and move on with life.
3. It communicates full support from her neighbors.
4. It would motivate the woman to look to the future and not the past.
, Townsend
PMHN, 10e
Chapter 36 - ETB
abirb.com/test
ANS: 1
Chapter: Chapter 36, The Bereaved Individual
Objective: Discuss theoretical perspectives of grieving as proposaebdirbb.cyomE/tleistabeth
Kübler- Ross, John Bowlby, George Engel, and J. William Worden.
Page: 820
Heading: Theoretical Perspectives on Loss and Bereavement > orden
J.abWirbi.clloima/mtesWt
Integrated Processes: Nursing Process
Nursing Process: Assessment
Client Need: Psychosocial Integrity
Cognitive Level: Comprehension [Understanding]
Concept: Grief and Loss
Difficulty: Difficult
Feedback
1. This is correct. The neighbors’ action could hinder the woman from accepting the
reality of the loss, which is the first task of Worden’s griefapbirrob.coemss/t.esBt
elief and denial
are intermittent while grappling with this task. It is common for individuals to refuse
to believe the loss has occurred. Behaviors may include misidentifying an individual
in the environment as their loved one, retaining possessions of the lost loved one, and
2. This is incorrect.
removing A woman
all reminders who
of the lostone
loved a baby is not
so as not to
going
h abto
vieforget
rb.tcothe
omfsorrow
/tecsetand
reality.
move on with life because her neighbors dismantled the nursery.
3. This is incorrect. Although the neighbors likely meant welal,biirtb.wcoams/tensot t a
supportive action.
4. This is incorrect. Dismantling the nursery is not going to motivate the woman to
look to the future and forget the past. She needs to grieve her loss appropriately.
CON: Grief and Loss
4. A teenager has recently lost a parent. Which grieving behavior would the school nurse
expect when assessing this client?
1. Denial of personal mortality
2. Preoccupation with the loss
3. Clinging behaviors and personal insecurity
4. Aggressive and defiant behaviors
ANS: 4
Chapter: Chapter 36, The Bereaved Individual
Objective: Discuss grieving behaviors common to individuals at avbairrbi.cooums/tesstat ges
across the life span.
Page: 826
Heading: Background Assessment Data: Concepts of Death—Deavbirblo.cpo m/tesnttal
Issues > Adolescents
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