1) With the help of the nurse, the parents of an infant who died shortly after birth arrange for a funeral service. What stage of grief, according to Engel, involves the rituals surrounding loss, including funeral services? a) Shock & Disbelief b) Developing Awareness c) Restitution d) Resolving the loss 2) The husband of a patient who has died cannot express his feelings of loss and at times denies them. His bereavement has extended over a lengthy period. What type of grief is the husband experiencing? a) Anticipatory Grief b) Inhibited Grief c) Normal Grief d) Unresolved Grief 3) A nurse informs a woman that there is nothing more that can be done medically for her premature infant who is expected to die. The mother suppresses her grief and tells the nurse she is experiencing heart palpitations. What type of grief might the mother be experiencing? a) Antipatory Grief b) Inhibited Grief c) Unresolved Grief d) Dysfunctional Grief 4) The wife of a man who is dying tells the nurse: “Harold was so good to me. He was like a saint with his patience. I will miss him terribly.” Which stage of grief is this woman experiencing, according to Engel? a) Restitution b) Awareness c) Outcome d) Idealization 5) A nurse is conducting grief resolution for a patient who lost his wife in a motor vehicle accident in which he was the driver. Which interventions best accomplish this goal? (Select all that apply.) a) Encourage the patient’s desire to keep silent about the event. b) Avoid making emphatic statements about the patient’s grief. c) Avoid identification of fears regarding the loss. d) Listen to expressions of grief. e) Include significant others in discussions and decisions as appropriate. f) Communicate acceptance of discussing los 6) The nurse is discussing end-of-life decisions with a patient who has terminal cancer. Which statements describe the patient’s options? (Select all that apply.) a) Living wills provide specific instructions about the kinds of health care that should be provided or foregone in particular situations. b) In a living will, a patient appoints an agent that he or she trusts to make decisions if he or she becomes incapacitated. c) The Patient Self-Determination Act of 1990 requires all hospitals to inform their patients about advance directives. d) The status of advance directives varies from state to state. 7) Actions and expressions of grief, including the symbols and ceremonies (e.g., a funeral or final celebration of life) that make up the outward expressions of grief a) Bereavement b) Mourning c) Greif d) Resolving the loss e) Idealization 8) A type of loss in which a person displays loss and grief behaviors for a loss that has yet to take place a) Anticipatory Loss b) Actual Loss c) Perceived Loss d) Physical Loss 9) A type of loss that can be recognized by others as well as by the person sustaining the loss a) Physical Loss b) Perceived Loss c) Psychological Loss d) Actual Loss 10) A type of loss that is felt by the person but is intangible to others, such as loss of youth or financial independence a) Psychosocial Loss b) Actual Loss c) Perceived Loss d) Anticipatory Loss 11) A type of loss that may be caused by an altered self-image and inability to return to work a) Physical Loss b) Psychological Loss c) Resolving the Loss d) Idealization 12) A type of loss that is tangible, such as the loss of a limb or organ a) Physical Loss b) Actual Loss c) Psychological Loss d) Perceived Loss 13) “I know I won’t be having Sunday dinner with my mother anymore. Maybe my husband and I can eat out this Sunday.” is an example of a) Resolving the loss b) Shock and Disbelief c) Idealization d) Developing Awareness 14) “I can’t believe my mother died of breast cancer! She was never seriously ill in her life.” is an example of a) Idealization b) Shock and Disbelief c) Developing Awareness d) Resolving the Loss 15) “My mother was the perfect parent. I wish I could be more like her with my kids.” a) Developing Awareness b) Resolving the Loss c) Shock and Disbelief d) Idealization 16) “Every time I think of my mother, I can’t help but cry.” is an example of a) Developing Awareness b) Restitution c) Resolving the Loss d) Shock and Disbelief 17) A couple has sent their youngest child to college in another state and both are experiencing "empty nest syndrome." This is an example of which type of loss? a) Situational Loss b) Anticipatory Loss c) Maturational Loss d) Physical Loss 18) A client diagnosed with terminal cancer is making plans to take a trip to visit an estranged sibling. What stage of death and dying, according to Kübler-Ross, is best illustrated in this description? a) Bargaining b) Depression c) Acceptance d) Anger 19) When providing end-of-life care for clients, what will the nurse most often need to prioritize? a) hydration and hygiene b) neurological assessment and protection of skin integrity c) oxygen supplementation and assistance with end-of-life planning d) pain control and emotional support 20) The nurse has noted that a dying client is increasingly withdrawn and is often teary at various times during the day. The nurse recognizes that the client may be experiencing which of Kübler-Ross's stages of grief? a) Denial b) Depression c) Anger d) Bargaining 21) The nurse involved in coordinating a support group for spinal cord injury clients learns that one of the participants in the support group was a college athlete prior to his diving accident. The client informs the group that he earned a scholarship based upon his athletic abilities and not his academic performance, and after the injury, he focused his energies on his studies. He has been on the dean's list for two semesters. What defense mechanism is illustrated in this scenario? a) Compensation b) Projection c) Reaction formation d) Sublimation 22) The children of a woman 60 years of age are distraught at her apparent lack of recovery following a stroke several weeks earlier. The client's daughter has frequently directed harsh criticism toward the nurses, accusing them of a substandard effort in rehabilitating her mother despite their best efforts. What defense mechanism may the client's daughter be exhibiting? a) Sublimation b) Denial c) Regression d) Displacement

Grief, and Dying Quiz

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