Ch 10- Grief and Loss

Complete Chapter Questions With Answers

Sample Questions Are Posted Below

1. A young couple just ended their relationship after a 9-month engagement. The one of
the individuals is seeking short-term counseling to assist in grieving this loss. Which
type of loss best describes what this client is experiencing?
A) Safety loss
B) Loss of security and sense of belonging
C) Loss of self-esteem
D) Loss related to self-actualization
Ans: B
Feedback:
Types of loss include safety loss (loss of a safe environment), loss of security and a
sense of belonging (loss of a loved one affects the need to love and the feeling of being
loved), loss of self-esteem (any change in how a person is valued at work or in
relationships or by him or herself), or loss related to self-actualization (external or
internal crisis that blocks or inhibits strivings toward fulfillment).
2. A child who has witnessed the murder of his classmate while at school would
experience which kind of loss?
A) Physiologic loss
B) Loss of self-esteem
C) Loss related to self-actualization
D) Safety loss
Ans: D
Feedback:
Safety loss is the loss of a safe environment. That feeling of safety is shattered when
public violence occurs. Examples of physiologic loss include amputation of a limb, a
mastectomy or hysterectomy, or loss of mobility. A loss of self-esteem includes any
change in how a person is valued at work or in relationships or by himself or herself can
threaten self-esteem. Loss related to self-actualization includes an external or internal
crisis that blocks or inhibits strivings toward fulfillment that may threaten personal goals
and individual potential.
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3. Which of the following terms is used to describe the process by which a person
experiences the grief?
A) Anticipatory grieving
B) Disenfranchised grief
C) Bereavement
D) Mourning
Ans: C
Feedback:
Bereavement refers to the process by which a person experiences the grief. Anticipatory
grieving is when people facing imminent loss begin to grapple with the very real
possibility of the loss or death in the near future. Disenfranchised grief is grief over a
loss that is not or cannot be acknowledged openly, mourned publicly, or supported
socially. Mourning is the outward expression of grief.
4. A married couple has just received the news that the husband has terminal cancer. The
wife tells the nurse, ìMaybe if we get another opinion and start treatment right way there
is a chance of survival.î The nurse documents that the wife is expressing signs of which
of Kubler-Ross’s stages of grief?
A) Denial
B) Anger
C) Bargaining
D) Depression
Ans: C
Feedback:
Kubler-Ross developed a model of five stages to explain what people experience as they
grieve and mourn: (1) Denial is shock and disbelief regarding the loss. (2) Anger may be
expressed toward God, relatives, friends, or health-care providers. (3) Bargaining occurs
when the person asks God or fate for more time to delay the inevitable loss. (4)
Depression results when awareness of the loss becomes acute. (5) Acceptance occurs
when the person shows evidence of coming to terms with death.
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5. After being laid off from work, a client becomes increasingly withdrawn and fatigued,
spends entire days in bed, is unkempt, and is eating and sleeping poorly. The nurse
would recognize that the client is in which stage of grieving, according to Kubler-Ross?
A) Anger
B) Bargaining
C) Denial
D) Depression
Ans: D
Feedback:
The client’s symptoms are characteristics of depression, which usually occurs when
awareness of the loss becomes acute. Anger may be expressed toward God, relatives,
friends, or health-care providers. Bargaining occurs when the person asks God or fate
for more time to delay the inevitable loss. Denial is shock and disbelief regarding the
loss.