Deck 20: Loss and Grief
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Deck 20: Loss and Grief
1
The set of emotional reactions that accompany a loss is called:
A)Grief
B)Anxiety
C)Mourning
D)Bereavement
A)Grief
B)Anxiety
C)Mourning
D)Bereavement
Grief
2
A person with terminal cancer makes a call to a family member she has not spoken to in 30 years in order to make amends.According to Kübler-Ross,what stage of dying is this person in?
A)Denial
B)Working
C)Resistance
D)Acceptance
A)Denial
B)Working
C)Resistance
D)Acceptance
Working
3
To assist them with their grief experiences,many health care facilities offer caregivers who work with dying clients:
A)Extra income
B)Support groups
C)Time off from work
D)Peer evaluation groups
A)Extra income
B)Support groups
C)Time off from work
D)Peer evaluation groups
Support groups
4
The client is 21 years old and has just been given the diagnosis of terminal cancer.She is coping with a(n)____ loss.
A)Expected
B)Imagined
C)Internal
D)Temporary
A)Expected
B)Imagined
C)Internal
D)Temporary
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5
Three years after the loss of her husband of 35 years,the widow has a full-time job but finds that she cannot sleep well at night,has frequent mood changes,and attends the couple's night out with friends that she and her husband attended.Upon seeking counseling,she discovers that she is exhibiting symptoms of:
A)Bereavement-related depression
B)Complicated grief
C)Anticipatory grief
D)Caregiver grief
A)Bereavement-related depression
B)Complicated grief
C)Anticipatory grief
D)Caregiver grief
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6
Persons may refuse to acknowledge that a loss has occurred during the first stage of:
A)Crisis
B)The grieving process
C)The rage reaction
D)The denial process
A)Crisis
B)The grieving process
C)The rage reaction
D)The denial process
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7
The concerns of children in whom terminal conditions have been diagnosed focus on how the illness affects the child's:
A)Loss of a future
B)Family and friends
C)Social activities
D)Activities of daily living
A)Loss of a future
B)Family and friends
C)Social activities
D)Activities of daily living
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8
The father of three young children dies.The wife expresses how worried she is about how to raise the children on her own without the support of her husband.She finds herself crying and living through each day without accomplishing anything.In which grieving stage is this behavior typically experienced?
A)Denial
B)Depression and identification
C)Acceptance and recovery
D)Yearning
A)Denial
B)Depression and identification
C)Acceptance and recovery
D)Yearning
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9
Decisions about a terminally ill client's remaining time belong to the:
A)Person
B)Family members
C)Medical care team
D)Spiritual advisor
A)Person
B)Family members
C)Medical care team
D)Spiritual advisor
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10
The behavioral state of thoughts,feelings,and activities that follow a loss is called:
A)Grief
B)Anxiety
C)Mourning
D)Bereavement
A)Grief
B)Anxiety
C)Mourning
D)Bereavement
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11
To make the remainder of a terminally ill person's life as meaningful and comfortable as possible is the goal of:
A)Hospice care
B)The stages of dying
C)The grieving process
D)Institutional care
A)Hospice care
B)The stages of dying
C)The grieving process
D)Institutional care
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12
When care is provided for a dying client in pain,addiction to analgesics is:
A)Not an issue
B)To be evaluated daily
C)To be carefully avoided
D)To be prevented with pain management techniques
A)Not an issue
B)To be evaluated daily
C)To be carefully avoided
D)To be prevented with pain management techniques
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13
Which of the following are therapeutic interventions for unresolved grief? (Select all that apply. )
A)Listening
B)Providing emotional support
C)Keeping the griever medicated
D)Referring to appropriate resources
E)Forcing the client to eat properly
A)Listening
B)Providing emotional support
C)Keeping the griever medicated
D)Referring to appropriate resources
E)Forcing the client to eat properly
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14
A family experiences the loss of their wife and mother to a car accident.Which family member is most likely to react by asking "When is mommy coming back?"
A)The 17-year-old son
B)The 11-year-old daughter
C)The 4-year-old son
D)The 7-year-old daughter
A)The 17-year-old son
B)The 11-year-old daughter
C)The 4-year-old son
D)The 7-year-old daughter
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15
The client lost her husband of 50 years 10 months ago.She now sees every day as a gray fog with no light.She has begun to experience changes in eating,sleeping,and activity levels;angry,hostile moods;and an inability to concentrate or complete work tasks.What is the client experiencing?
A)Complicated grief
B)A normal grief reaction
C)Complicated depression
D)Bereavement-related depression
A)Complicated grief
B)A normal grief reaction
C)Complicated depression
D)Bereavement-related depression
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16
The last stage of growth and development is called:
A)Dying
B)Old age
C)Wisdom
D)Maturity
A)Dying
B)Old age
C)Wisdom
D)Maturity
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17
A 10-year-old patient on a children's oncology unit has had an unsuccessful bone marrow transplant.The family is distraught but remains positive in front of the child.One night the child asks the nurse about death and dying.What counseling should the nurse give to the parents?
A)Avoid talking about death in front of the child.
B)Change the subject if the child asks about dying.
C)Allow the child to have an honest discussion about dying.
D)Allow the physician to discuss this with the child.
A)Avoid talking about death in front of the child.
B)Change the subject if the child asks about dying.
C)Allow the child to have an honest discussion about dying.
D)Allow the physician to discuss this with the child.
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18
Throughout the life cycle,which age group has the most difficult time relating to their own death?
A)Toddler
B)Preschool
C)Adolescent
D)Adult
A)Toddler
B)Preschool
C)Adolescent
D)Adult
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19
The 39-year-old daughter of a client with a terminal illness tells the nurse that she thinks something is wrong with her because she frequently cries,is often sad,and can't imagine losing her mother.The nurse assures the daughter that these are normal feelings associated with:
A)Bereavement-related depression
B)Complicated grief
C)Anticipatory grief
D)Caregiver grief
A)Bereavement-related depression
B)Complicated grief
C)Anticipatory grief
D)Caregiver grief
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20
The group best able to accept their losses and grow from their experiences is:
A)Adults
B)Toddlers
C)Adolescents
D)School-age children
A)Adults
B)Toddlers
C)Adolescents
D)School-age children
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21
Place the steps of grieving in proper order.
A)Acceptance and recovery
B)Depression and identification
C)Denial
D)Yearning
A)Acceptance and recovery
B)Depression and identification
C)Denial
D)Yearning
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22
__________ occurs when an individual who has experienced a loss is working through or resolving his or her grief.
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23
According to Glaser and Strauss,the closed awareness model can be applied to family,friends,care providers,and the dying individual.Which of the following statements are true of the closed awareness model? (Select all that apply. )
A)Medical personnel and family keep the condition secret from the client.
B)Caregivers and client know about impending death but do not talk about it.
C)Caregivers and client accept death and have open conversations.
D)Dying client feels isolated from the ability to share with family.
E)Dying client becomes suspicious of the truth,and information is tightly controlled by family.
A)Medical personnel and family keep the condition secret from the client.
B)Caregivers and client know about impending death but do not talk about it.
C)Caregivers and client accept death and have open conversations.
D)Dying client feels isolated from the ability to share with family.
E)Dying client becomes suspicious of the truth,and information is tightly controlled by family.
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24
Following the funeral of her husband,the widow is seen crying and holding his picture.She is demonstrating __________.
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