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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
Correct Answer: C
Rationale: Bereavement refers to the internal process of experiencing grief, distinct from anticipatory grieving, disenfranchised grief, or the outward expression of mourning.
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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.
Which of the following persons are most likely experiencing complicated grieving? Select all that apply.
- A. The spouse of a person who died 7 years ago and visits the grave several times a day.
- B. The grandchild of a soldier killed in war who visits the grave once a year on Memorial Day.
- C. A driver whose spouse and children all died as a result of his driving drunk.
- D. An adult who insisted for many years that he or she hated his or her deceased parent.
- E. The parent of a child who died after the having left the child in a car on a hot day.
Correct Answer: A,C,D,E
Rationale: Complicated grieving is indicated by prolonged or exaggerated grief, guilt, or ambivalent attachments, as seen in excessive grave visits, guilt from causing a loss, or unresolved feelings toward the deceased.
Which of the following are critical components in assessment of a person's grief? Select all that apply.
- A. Adequate perception regarding the loss
- B. Adequate time to experience the loss
- C. Adequate support while grieving for the loss
- D. Adequate opportunities to say goodbye to the person
- E. Adequate coping behaviors during the process
Correct Answer: A,C,E
Rationale: Perception, support, and coping behaviors are critical in assessing grief, as they drive the grieving process.
A client is scheduled for a mastectomy for breast cancer. She is quiet, shows little emotion, and states that she has no questions. The nurse's assessment would need to focus on
- A. the client's plans for reconstructive surgery.
- B. the meaning of the mastectomy to the client.
- C. whether the client truly understands the surgery.
- D. why the client seems depressed.
Correct Answer: B
Rationale: Exploring the client's perception of the mastectomy is critical to understanding her anticipatory grief and emotional response.
A married couple has just received the news that the husband has terminal cancer. The wife tells the nurse, 'Maybe if we get another opinion and start treatment right away there is a chance of survival.' 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
Correct Answer: C
Rationale: Bargaining involves seeking ways to delay or mitigate the loss, as seen in the wife's hope for a different outcome through another opinion or treatment.