Nokea
Which of the following are critical components to assess in a grieving person? Select all that apply.
- A. Genetic risk
- B. Perception of the loss
- C. Support system
- D. Coping behaviors
- E. Religion
Correct Answer: B,C,D
Rationale: Perception, support, and coping behaviors are critical components in assessing grief, as they shape the grieving process.
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Friends of a teenage male recently killed in a car accident are discussing their sense of loss. Which of the following comments best indicates that the friends are trying to make sense of the loss cognitively?
- A. Why did he have to die so young?
- B. He shouldn't have been driving so recklessly.
- C. If we had only stayed longer, he would not have been on that road.
- D. It took the ambulance too long to get there.
Correct Answer: A
Rationale: Questioning why the death occurred reflects cognitive efforts to make sense of the loss, challenging assumptions about life.
Which of the following losses are likely to result in disenfranchised grief? Select all that apply.
- A. A young adult whose spouse has just died suddenly
- B. A family whose long-time pet snake has just died
- C. A nurse who has just witnessed the death of a patient
- D. A couple who has just experienced pregnancy loss
- E. The gay lover of a man who just died from AIDS
- F. The mother and sister of a soldier who was killed in war
Correct Answer: B,C,D,E
Rationale: Disenfranchised grief occurs when the loss or griever is not socially recognized, such as with pet loss, professional grief, pregnancy loss, or stigmatized relationships.
Kubler-Ross developed a model of five stages to explain what people experience as they grieve and mourn. Which is stage V of Kubler-Ross's stages of grieving?
- A. Denial
- B. Bargaining
- C. Acceptance
- D. Anger
Correct Answer: C
Rationale: Stage V of Kubler-Ross's model is acceptance, where the person comes to terms with the loss.
The nurse approaches a client who looks very sad and is sitting alone crying. The best response by the nurse in this situation is,
- A. I'm sorry you are sad. Is there anything I can do to help you feel better?
- B. Please don't cry. It will get better.
- C. You look very sad. What is happening?
- D. What is bothering you?
Correct Answer: C
Rationale: Acknowledging the client's sadness and encouraging expression of feelings facilitates the grieving process without minimizing emotions.
The client says to the nurse, 'I really want to see my first grandchild born before I die. Is that too much to ask?' The nurse would recognize that the client is in which stage of grieving, according to Kubler-Ross?
- A. Acceptance
- B. Anger
- C. Bargaining
- D. Denial
- E. Depression
Correct Answer: C
Rationale: The client's desire to live until a specific event reflects bargaining, seeking to delay the inevitable loss.