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Test Bank For Davis Advantage for Townsend’s Essentials of Psychiatric Mental Health Nursing 9th Edition Karyn Morgan(CHAPTER 26 AND 27)$2.99
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Multiple Choice
Identify the choice that best completes the statement or answers the question.
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 a 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, which 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 dismantledNEtUxhReaSnmuIriNnseeGryrT0tBh0a.1t
Cs@hOeMsatnudvhiaer.chousmband planned. According to Worden, how could this
intervention affect the woman’s grieving task completion?
1. This intervention may hinder 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. 4. This intervention would motivate the woman to look to the future and not the past.
A teenager’s parent has recently died. 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
5. 4. Acting-out behaviors, exhibited in aggression and defiance
Which statement made by a family member of a hospice client requires correction by the nurse?
1. “My mom will receive pain management and be kept as comfortable as possible.”
2. “My mom will receive aggressive treatment as a final attempt to cure the disease
to give her more time to spend with us.”
3. “The dietician can work with us to help plan some high calorie meals
incorporating foods my mom will eat.”
4. “There is a nurse or staff member available 24/7 in case my mom
needs assistance.”
, 6. A nurse assigns a client the nursing diagnosis of complicated grieving. According to Bowlby,
which long-term outcome would be most appropriate for this nursing diagnosis?
1. The client will accomplish the recovery stage of grief by year one.
2. The client will accomplish the acceptance stage of grief by year one.
3. The client will accomplish the reorganization stage of grief by year one.
4. The client will accomplish the emotional relocation stage of grief by year one.
7. A nurse assesses a female client whose partner died 13 months ago. The client isolates herself,
screams at her deceased partner, and is increasingly restless. According to Bowlby, this client is in
which stage of the grieving process?
1. Stage I: Numbness or protest
2. Stage II: Disequilibrium
3. Stage III: Disorganization and despair
4. Stage IV: Reorganization
8. Which is the most accurate description of the nursing diagnosis of dysfunctional grieving?
1. Inability to form a valid appraisal of a loss and to use available resources
2. The experience of distress, with accompanying sadness, which fails to
follow norms
3. A perceived lack of control over a current loss situation
4. Aloneness perceived as imposed by others and as a negative or threatening state
Multiple Response
Identify one or more choices that best cNoEUmxRpalSemtIeiNtnhGeeTrs0tBa0.te1Cm@OenMst tour
vainas.wceormthe question.
9. Which of following members of a bereavement group would the nurse identify as being at
high risk for complicated grieving? (Select all that apply.)
1. A widower who has recently experienced the death of two good friends
2. A man whose wife died suddenly after a cerebrovascular accident
3. A widow who removed life support after her husband was in a vegetative state
for a year
4. A woman who had a competitive relationship with her recently deceased brother
5. A young couple whose child recently died of a genetic disorder
10. According to Worden, which of the following client behaviors would delay or prolong the
grieving process? (Select all that apply.)
1. Refusing to allow oneself to think painful thoughts
2. Indulging in the pain of loss
3. Using alcohol and drugs
4. Idealizing the object of loss
5. Recognizing that time will heal
11. Which of the following types of care would be provided by the interdisciplinary team of hospice?
(Select all that apply.)
1. Physical care available on a 24/7 basis
2. Counseling on the addictive properties of pain-management medications
3. Discussions related to death and dying
, 4. Explorations of new aggressive treatments
5. Assistance with obtaining spiritual support and guidance
12. Which statement is true regarding a 7-year-old client’s perception of death? (Select all that apply).
1. They believe their behavior caused another person to die.
2. They are old enough to understand the actual cause of death.
3. They may believe the “bogey man” took the person.
4. They may associate death with old age.
5. They understand death to be inevitable.
Other
13. Order the stages of normal grief, according to John Bowlby. (Enter the number of each step in
the proper sequence, using comma and space format, such as: 1, 2, 3, 4.)
1. Reorganization
2. Disequilibrium
3. Disorganization and despair
4. Numbness/protest
14. Order the stages of normal grief, according to J. William Worden. (Enter the number of each
step in the proper sequence, using comma and space format, such as: 1, 2, 3, 4.)
1. Finding an enduring connection with the lost entity in the midst of embarking on a new life
2. Accepting the reality of the loss
3. Adjusting to a world
wiNtEhUoxRuatSmtIheiNnlGoesTrt0Be0n.t1iCt@yOMstuvia.com
4. Processing the pain of grief
Completion
Complete each statement.
15. grieving is the experiencing of the feelings and emotions associated
with the normal grief response before the loss actually occurs.
16. is the separation from something of personal importance.
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