Overview of Loss and Grief

Which statements about how people grieve are accurate? Select all that apply. People react to death the same way regardless of age. Children may act out with angry outbursts or have anxiety. Middle-age adults may have to cope with unfamiliar responsibilities. Older adults often have multiple losses and may be at risk for complicated grief. Coping strategies usually increase with a person's age.

.Children may act out with angry outbursts or have anxiety. Middle-age adults may have to cope with unfamiliar responsibilities. Older adults often have multiple losses and may be at risk for complicated grief. Coping strategies usually increase with a person's age.

Place the necessary tasks of grieving and mourning in order, according to Worden. Accept and acknowledge the pain of the loss Develop new relationships Make necessary changes to adjust to the loss Accept the reality of the loss

Accept the reality of the loss Accept and acknowledge the pain of the loss Make necessary changes to adjust to the loss Develop new relationships

According to Worden, which physical, emotional, and financial adjustments are necessary for the bereaved to restructure and redefine life after a loss? Select all that apply. Accepting the loss of the deceased Reorganizing monetary responsibilities Removing the deceased's clothes and personal items Finding other avenues of support and companionship Ensuring that the deceased maintains a primary presence in the bereaved person's life

Accepting the loss of the deceased Reorganizing monetary responsibilities Removing the deceased's clothes and personal items Finding other avenues of support and companionship

A patient is struggling with the loss of a family member to suicide. Which aspects of grief after suicide may affect the way the patient copes with the loss? Select all that apply. Preoccupation with personal safety Decreased level of support Feelings of shame, guilt, and anger Working with the justice system Increased distres

Decreased level of support Feelings of shame, guilt, and anger Increased distress

Which problems reported by a patient may represent cognitive reactions to a loss? Select all that apply. Chest pain Irritability Loss of interest in hobbies Difficulty concentrating on daily tasks Inability to remember the day of the week

Difficulty concentrating on daily tasks Inability to remember the day of the week

Which situations may negatively affect the grieving process? Select all that apply. Divorce Lack of friends for support Accepting a higher-paying job High-stress work environment Caring for a chronically ill parent

Divorce Lack of friends for support High-stress work environment Caring for a chronically ill parent

A person has turned to excessive alcohol use to numb the pain of losing a close relative and can no longer function at work. Which type of grief is the patient experiencing? Chronic Masked Delayed Exaggerated

Exaggerated

Which circumstances increase the risk for complicated grief? Select all that apply. Friend dies by suicide Car accident results in death An older adult parent dies Drive-by shooting results in death Child dies after a long fight with cancer

Friend dies by suicide Car accident results in death Drive-by shooting results in death

Match the type of loss with how it influences an individual's grief process. Grieving of a dream Threatens the sense of security Feelings of shame, fear, guilt, rejection, and anger Grieving symbolic losses

Grieving of a dream Stillbirth Threatens the sense of security Loss related to murder Feelings of shame, fear, guilt, rejection, and anger Loss related to suicide Grieving symbolic losses Loss related to catastrophic death

A patient who cared for a dying parent presents with an acute illness after the parent's death. How does the health of the patient affect the grief process? Health and grieving are unrelated. Illness enhances the ability to cope with loss. Illness may interfere with the ability to cope with loss. Illness often helps the grieving process by distracting the bereaved.

Illness may interfere with the ability to cope with loss.

Match the culture with the associated grief ritual or practice. Immediate burial Involvement of rabbi Cremated ashes scattered in sacred rivers

Immediate burial Islam Involvement of rabbi Judaism Cremated ashes scattered in sacred rivers Hinduism

A patient who has recently lost a child states, "I know she's not coming back." The patient has completed the task of which of Sheldon's stages of grief? Despair Adjustment Initial shock Pangs of grief

Initial shock

A patient who has recently lost a spouse states that she is doing fine but mentions frequent heartburn and a rapid heart rate. Which type of grief is the patient experiencing? Chronic Masked Delayed Exaggerated

Masked

Which reactions are examples of bereavement? Select all that apply. Sadness Regret Anger Lack of exercise Wearing black for a period after the loss

Sadness Regret Anger Wearing black for a period after the loss

Which factors may influence the grieving process of a female patient who suffers the loss of a close male friend who was of a similar age? Select all that apply. The manner of death The age of the deceased The gender of the patient The gender of the deceased The relationship between the patient and the deceased

The manner of death The age of the deceased The gender of the patient The relationship between the patient and the deceased

Which behaviors suggest that a patient is experiencing complicated grief? Select all that apply. The patient's personal health is threatened. The patient expresses an intense and persistent need for the deceased. The patient experiences sadness immediately after the death. The patient attempts to rebuild a life without the deceased. The patient avoids the favorite restaurant of the deceased 2 years after the death.

The patient's personal health is threatened. The patient expresses an intense and persistent need for the deceased. The patient avoids the favorite restaurant of the deceased 2 years after the death.

Which statements apply to the patterns or stages of grief by Kübler-Ross, Bowlby, and Sheldon? Select all that apply. There is usually a period of initial denial or shock. Religious or spiritual community is important in the acceptance stage. Acceptance, reorganization, and adjustment are part of the final stages. Despair or depression is a common pattern. The timeline is the same for everyone regardless of which theory is utilized.

There is usually a period of initial denial or shock. Acceptance, reorganization, and adjustment are part of the final stages. Despair or depression is a common pattern.

Match the type of complicated grief to the situation it exemplifies. Turning to alcohol to cope Avoidance of coping with grief Intense grief 13 months after the death Failure to recognize the intensity of grief

Turning to alcohol to cope Exaggerated Avoidance of coping with grief Delayed Intense grief 8 months after the death Chronic Failure to recognize the intensity of grief Masked

Match the stage of Bowlby's model of grief with the associated patient statement. "I do not feel any pain." "I want to be left alone." "I think I am going to be okay." "I am so furious that this happened."

"I do not feel any pain." Shock and numbness "I want to be left alone." Disorganization and despair "I think I am going to be okay." Reorganization "I am so furious that this happened." Searching and yearning

Which situations describe a person experiencing complicated grief? Select all that apply. A person searches for the deceased many months after the death. A person thinks about the deceased every now and then 3 years after the death. A person is not able to maintain normal daily routines because of the grief. A person is still actively grieving the death of a friend 2 years after the death. A person is trying to establish new interests but is still grieving the deceased 2 months after the death.

A person searches for the deceased many months after the death. A person is not able to maintain normal daily routines because of the grief. A person is still actively grieving the death of a friend 2 years after the death. .