Question 1

What behavior would indicate that the bereaved widow has entered the searching and yearning stage of grief?

Accepted Answer

Depressive behavior is a cardinal indicator of the searching and yearning phase of grief.

Question 2

How does the nurse define a role?

Accepted Answer

A role is a socially accepted behavior standard; roles are not always positive or unchangeable.

Question 3

The recently widowed 65-year-old man has told the nurse that he is so lost without his wife that he is planning to retire, sell his home, and move to a retirement village in another state. What assessment by the nurse would be the most correct?

Accepted Answer

The decision is risky because loss of home,employment,and circle of friends as support puts his self-image at risk; so many useful roles are going to be given up. The nurse is not in a position to evaluate how well he has thought out his plan. More time to resolve grief and the launching of a "new beginning" without support may not be beneficial.

Question 4

A 59-year-old construction worker living with his divorced son and 9-year-old grandson was admitted to the hospital 3 days ago with a massive heart attack. His son is out of town on a business trip and has been unable to visit him. His grandson had to go stay with a friend. The social worker tells the nurse that the son stated he will not be able to care for his father when he gets out of the hospital and does not know how he will afford the skilled nursing facility. What is the most appropriate nursing diagnosis?

Accepted Answer

The family process has been interrupted due to a change in the patient's health. There has been a change in the roles and relationship with the son. The patient is now dependent on the son.

Question 5

What is the status of any role based upon?

Accepted Answer

The society in which the role is assumed delegates the value or status of that role. In some societies,advanced age is valued and given high status; in others,advanced age is not given status and the role is negative.

Question 6

What would be indicative of dysfunctional grieving in an 80-year-old man?

Accepted Answer

Sense of depression and despair after 1 year of bereavement may indicate dysfunctional grief.

Question 7

Which stage of grief usually resolves after approximately 2 weeks to 4 months?

Accepted Answer

The stage of grieving known as searching and yearning usually resolves between 2 weeks and 4 months.

Question 8

Which of the following would be most likely to experience a problem with role conflict?

Accepted Answer

The father who comes to work to "advise" his son is the most at risk for role conflict problems,because he has not completely given up his role as owner. This will conflict with his role as a father.

Question 9

When the home health nurse suggests a grief resolution group to the older widow, the widow furiously states, "I don't want or need any help! I want my husband back!" What stage of grief would this be characteristic of?

Accepted Answer

The stage of disorientation is characterized by resistance to seeking help and irritability.

Question 10

What is a typical response for friends when dealing with a grieving person?

Accepted Answer

The natural desire of individuals is to avoid grieving persons and avoid discussing the source of grief.

Question 11

Which of the following accurately reflects a homogenous society?

Accepted Answer

A homogeneous society is one that is simple and uncomplicated,in which all members share the same culture and role expectations.

Question 12

The nurse assesses that although the college professor has retired, he still perceives himself as an educator and retains his academic title and professional association membership. How could the change in employment status be reflected in the professor?

Accepted Answer

The loss of the active teaching position is a threat to the self-image. The retention of his academic title and membership in his professional organization is a way of coping with his retirement status.

Question 13

Which stage of grief usually resolves after approximately 4-7 months?

Accepted Answer

The stage of grieving known as disorientation usually resolves after 4-7 months.

Question 14

What would be the best method for the nurse to help a grieving widow begin the grief resolution process?

Accepted Answer

Verbalization,acknowledgment,and confrontation of grief initiate problem solving for grief resolution. Encouraging the widow to focus on the negative aspects of loss and loneliness reinforces negative ideation. Pointing out behaviors that are not helpful and distraction with social conversation are not directed at grief resolution.

Question 15

A nurse is counseling an older man who retires from his work and changes his role status. What will likely result in the man having fewer adjustment problems?

Accepted Answer

Other significant roles can take the place of the role of an employed worker. The fewer roles one has,the greater the impact of retirement. Finances,health,and family are important,but not as significant to the self-image as having other satisfying roles.

Question 16

How can a nurse most effectively promote social contact and interaction in the long-term care facility?

Accepted Answer

The proactive intervention combines the best of all interventions: one-on-one contact,showing interest,and providing support to the patient.

Question 17

What is the correct term for a society in which members of many diverse subcultures must interact?

Accepted Answer

A heterogeneous society is one in which members from many diverse subcultures must interact.

Question 18

Which stage of grief may last up to 2 years?

Accepted Answer

The stage of grieving known as reorganization may last up to 18-24 months.

Question 19

A man has roles of father, husband, professional businessman, son, and community leader. What may he be at risk of experiencing?

Accepted Answer

The assumption of multiple roles results in conflicts because the individual roles require time and behavioral modes that may conflict with each other. For example,the behaviors that a self-directed businessman may find useful in running a successful business may conflict with being the obedient son or caring husband.

Question 20

Which stage of grief usually resolves after approximately 2 weeks?

Accepted Answer

The stage of grieving known as shock and numbness usually resolves within the first 2 weeks.

Quiz 12: Roles and Relationships