Chapter 30: Dying, Death, and Grieving |Halter: Varcarolis’ Foundations of Psychiatric Mental Health Nursing: A Clinical Approach, 8th Edition

MULTIPLE CHOICE 1. An adult says to the nurse, ―The cancer in my neck spread in only 2 months. I‘ve been cursed my whole life. Maybe if I had been more generous with others …‖ Considering the stages of grief described by Kübler-Ross, which stage is evident? a. Anger b. Denial c. Depression d. Bargaining ANS: D The patient‘s comment demonstrates an attempt to regain control. Bargaining is evidenced by people reviewing what could have been done differently. While the person may also be experiencing anger and depression, the comment speaks directly to bargaining. The person shows acceptance of the disease. PTS: 1 DIF: Cognitive Level: Understand (Comprehension) REF: Pages 30-3, 22 TOP: Nursing Process: Assessment MSC: Client Needs: Psychosocial Integrity 2. Four teenagers died in an automobile accident. Six months later, which behavior by the parents best demonstrates acceptance of the tragedy? The parents who a. isolate themselves at home. b. return immediately to employment. c. forbid other teens in the household to drive a car. d. create a scholarship fund at their child‘s high school. ANS: D Loss of a child is among the highest risk situations for maladaptive grieving. The parents who create a scholarship fund are openly expressing their feelings and memorializing their child. The other parents in this question are isolating themselves and/or denying their feelings. PTS: 1 DIF: Cognitive Level: Apply (Application) REF: Pages 30-3, 21, 42 (Box 30-5) TOP: Nursing Process: Evaluation MSC: Client Needs: Psychosocial Integrity 3. After a spouse‘s death, an adult repeatedly says, ―I should have recognized what was happening and been more helpful.‖ This adult is experiencing a. depression. b. bargaining. c. anger. d. guilt. ANS: D Guilt is expressed by the bereaved person‘s self-reproach. Anger, depression, and bargaining cannot be assessed from data given in the scenario. PTS: 1 DIF: Cognitive Level: Understand (Comprehension) REF: Page 30-22 TOP: Nursing Process: Assessment MSC: Client Needs: Psychosocial Integrity 4. A widower tells friends, ―I am taking my neighbor out for dinner. It‘s time for me to be more sociable again.‖ Considering the stages of grief described by Kübler-Ross, which stage is evident? a. Anger b. Denial c. Depression