374: bereaved individual

Which feelings and behaviors are common during the second stage of the grief response outlined by George Engel? Select all that apply. 1. Emptiness 2. Frustration 3. Numbness 4. Disbelief 5. Preoccupation with the loss

1, 2 (emptiness and frustration)

According to the tasks proposed by J. William Worden, which strategies is a bereaved individual likely to employ to avoid or suppress the pain of grief? Select all that apply. 1. Refusing to allow oneself to think painful thoughts 2. Idealizing reminders of lost entity 3. Using alcohol or drugs 4. Regressing to a state of helplessness 5. Excessive crying

1, 2, 3

Which behaviors are associated with the second stage of grief, as hypothesized by John Bowlby? Select all that apply. 1. Preoccupation with the loss 2. Intense weeping 3. Feelings of ambivalence 4. Restlessness and aimlessness 5. Somatic complaints

1, 2, 3

Which is a typical response to hearing about the death of a family member in the African American culture? 1. Sudden collapse and paralysis 2. No open expressions of grief 3. A mourning period of 49 days 4. A festive watch over the body of the deceased person

1. Sudden collapse and paralysis

In which task of the grief process as proposed by J. William Worden is a bereaved individual most likely to mistake individuals in the environment for his or her lost loved one? 1. Accepting the reality of the loss 2. Processing the pain of grief 3. Adjusting to a world without the lost entity 4. Finding an enduring connection with the lost entity in the midst of embarking on a new life

1. accepting the reality of the loss

Which stage of the grief process, as outlined by Elizabeth Kübler-Ross, is characterized by self-blame or blaming others? 1. Anger 2. Acceptance 3. Denial 4. Bargaining

1. anger

What are the characteristic features of a distorted grief response? Select all that apply. 1. Anger toward the environment 2. Anger toward the self 3. Depressive mood 4. Overreaction to another person's loss 5. Keeping a "stiff upper lip"

1. anger toward environment 2. anger toward self 3. depressive mood

A person who is dying experiences feelings of loneliness and isolation because his or her family has stopped providing support because immediate family members exhibit a type of problematic grief response. Which is the most likely grief response exhibited by the family? 1. Anticipatory grief response 2. Inhibited grief response 3. Chronic grief response 4. Exaggerated grief response

1. anticipatory grief response

Which type of grief response acts as a defense for some individuals to ease the burden of loss when it actually occurs? 1. Anticipatory grief response 2. Delayed grief response 3. Exaggerated grief response 4. Normal grief response

1. anticipatory grief response

Which type of grief response does a bereaved individual most likely experience if the individual is strongly influenced by his or her culture to maintain a "stiff upper lip" in response to the loss? 1. Delayed grief 2. Distorted grief 3. Prolonged grief 4. Anticipatory grief

1. delayed grief

Which step helps a bereaved individual successfully complete Task III, as outlined by J. William Worden? 1. Developing new skills to cope and adapt to his or her new environment without the lost entity 2. Participating in traditional rituals such as the funeral 3. Allowing himself or herself to feel the pain of loss 4. Letting go of past attachments and forming new ones

1. developing new skills to cope and adapt to his or her new environment without the lost entitiy

Which is a symptom of clinical depression in a bereaved individual? 1. Disturbed self-esteem 2. Openly expressed anger 3. Guilt over some aspect of the loss 4. Transient somatic symptoms

1. disturbed self-esteem

Which is a characteristic of mourning in the African American culture? 1. Expressing feelings openly and publicly at the funeral 2. Serving a meal of condolence to the guests after the funeral, provided by friends and neighbors 3. Keeping a festive watch over the body of the deceased person by friends and family 4. Refraining from touching the body of the deceased

1. expressing feelings openly and publicly at the funeral

Which is the major difference between normal grieving and a maladaptive grieving response? 1. Feeling worthless or having low self-esteem 2. Feeling considerable anger toward the environment 3. Feeling helpless and frustrated 4. Taking years to adapt to a new way of life

1. feeling worthless or having low self-esteem

Which statements effectively describe the attitude of most Jewish American people toward death and mourning? Select all that apply. 1. It is more important to focus on conducting the present life well than focusing on life after death. 2. It is forbidden to take one's own life. 3. The spirit of the dead person can try to assume control of someone else's spirit. 4. It is a taboo to directly suggest to a person with a fatal illness that he or she is dying. 5. The color white is associated with death and is considered bad luck.

1. it is more important to focus on conducting the present life well than focusing on life after death 2. it is forbidden to take one's own life

In which culture is the 7-day period beginning with the burial devoted entirely to thinking about the deceased, when mourners do not work? 1. Jewish American 2. Mexican American 3. Filipino American 4. Japanese American

1. jewish american

A client is dying of cancer. His health-care provider is aware of the nuances of the attitude toward death prevalent in the client's culture. The primary health-care provider talks to him about the issues associated with end-stage cancer in a way that implies that they are discussing the illness of a mutual acquaintance. To which culture does the client likely belong? 1. Native American 2. Mexican American 3. Filipino American 4. Jewish American

1. native american

Which is an example of delayed grief? 1. Overreaction to another person's loss 2. Detachment from a dying family member even before the death has occurred 3. Depressive mood disorder as a reaction to loss 4. Extreme feelings of powerlessness

1. overreaction to another person's loss

Which behavior is exhibited by a bereaved individual in Stage II of the grief process as outlined by George Engel? 1. Regressing to a state of helplessness 2. Feeling numb 3. Participating in the funeral 4. Imitating admired qualities of the lost entity

1. regressing to a state of helpessness

Which behavior is common in a bereaved individual who is working through the first task of the grief process? 1. Retaining possessions of the lost loved one as though he or she has not died 2. Avoiding reminders of the lost entity 3. Using alcohol to numb the pain of loss 4. Attempting to adjust to an environment without the lost entity

1. retaining possessions of the lost loved one as though he or she has not died

Which task of the bereavement process, as outlined by J. William Worden, involves accepting the reality of the loss? 1. Task I 2. Task II 3. Task III 4. Task IV

1. task I

In which situation is the grief response more difficult for the bereaved individual? 1. The individual has experienced a number of recent losses. 2. The individual knew beforehand that the loss was going to occur. 3. The individual lost an elderly person who was close to him or her. 4. The individual participated in the rituals associated with loss within his or her culture.

1. the individual has experienced a number of recent losses

What do most preschoolers and kindergarteners believe regarding the concept of death? 1. They believe death is reversible. 2. They may believe that death is contagious. 3. They are interested in the physical aspects of dying and the final disposition of the body. 4. They generally have an attitude of immortality.

1. they believe death is reversible

Which characteristic features are most likely to be observed in a client who is in Stage V of the grief response, as outlined by Elizabeth Kübler-Ross? Select all that apply. 1. Regression 2. Decreased anxiety 3. Resignation 4. Shame 5. Decreased ability to function independently

2, 3 decreased anxiety and resignation

Children of which age group are most likely to believe that their thoughts or behaviors caused a person to become sick or to die? 1. 2 years of age 2. 3 to 5 years of age 3. 6 to 9 years of age 4. 10 to 12 years of age

2. 3 to 5 years of age

Which theorist referred to the final stage of grief as recovery? 1. John Bowlby 2. George Engel 3. William Worden 4. Elisabeth Kübler-Ross

2. George Engel

Which grief theorist has implied that the four stages of grief, as hypothesized by him or her, can be experienced by all individuals, including babies as young as 6 months of age? 1. George Engel 2. John Bowlby 3. J. William Worden 4. Elisabeth Kübler-Ross

2. John Bowlby

Which stage of the grief process, as outlined by Elizabeth Kübler-Ross, is characterized by confusion and a decreased ability to function independently? 1. Denial 2. Anger 3. Bargaining 4. Acceptance

2. anger

A client has recently gone through a mastectomy as a part of her treatment for breast cancer. She requires therapeutic intervention while she works through her feelings of grief regarding the mastectomy. Which stage of the grief response, as outlined by Elizabeth Kübler-Ross, is the client most likely experiencing? 1. Acceptance 2. Depression 3. Bargaining 4. Anger

2. depression

In which stage of the grief response as outlined by George Engel does an individual feel anger toward the people in the environment whom the individual holds accountable for the loss? 1. Shock and disbelief 2. Developing awareness 3. Restitution 4. Resolution of the loss

2. developing awareness

A bereaved individual feels such intense sadness at the passing of the lost entity that he or she is unable to properly manage daily living activities. The individual also experiences chronic somatic symptoms. What sort of grief response does this individual experience? 1. Normal grief 2. Distorted grief 3. Inhibited grief 4. Anticipatory grief

2. distorted grief

Which is a sign of clinical depression in a bereaved individual? 1. Experiencing transient physical symptoms 2. Not expressing anger directly 3. Expressing feelings of guilt over some aspect of the loss 4. Experiencing a mixture of "good and bad days"

2. not expressing anger directly

Which is the most likely characteristic of the disequilibrium stage in the grief process, as hypothesized by John Bowlby? 1. Feeling of shock 2. Preoccupation with the loss 3. Establishment of new patterns of organization 4. Somatic complaints

2. preoccupation with the loss

In Bowlby's model, in which stage does the mourner have an extreme urge to recover what has been lost? 1. Stage I 2. Stage II 3. Stage III 4. Stage IV

2. stage II

Which stage of the grief process as outlined by Elizabeth Kübler-Ross includes feelings of shame, helplessness, and hopelessness? 1. Stage I 2. Stage II 3. Stage III 4. Stage IV

2. stage II

Which ritual regarding death is associated with the Navajo tribe of the Southwest? 1. Mourners are required to wash their hands following the funeral before entering the house of the closest relative. 2. The dead are buried with their shoes on the wrong feet and rings on their index fingers. 3. The body is buried within 24 hours after death. 4. White clothing is worn by individuals in mourning for 14 days.

2. the dead are buried with their shoes on the wrong feet and rings on their index fingers

Which rituals are associated with mourning in the Japanese American culture? Select all that apply. 1. The body is generally buried rather than cremated. 2. The mourning period is 49 days. 3. There is a 2-day period of visitation by family and friends before the funeral. 4. Evening group prayers are held for 9 days following the burial. 5. The morning period is 1 year for a parent.

2. the mourning period is 49 days 3. there is a 2-day period of visitation by family and friends before the funeral

Which statement is true regarding the concept of death held by most children between the ages of 6 and 9 years? 1. They believe death is reversible. 2. They may believe that death is contagious. 3. They are interested in the physical aspects of dying and the final disposition of the body. 4. They generally have an attitude of immortality.

2. they may believe that death is contagious

How long does the acute phase of normal grieving last in adults? 1. 2 to 3 weeks 2. 4 to 5 weeks 3. 6 to 8 weeks 4. 12 to 14 weeks

3. 6 to 8 weeks

Which grief theorist views the bereaved individual as active and self-determining rather than a passive participant in the grief process? 1. George Engel 2. John Bowlby 3. J. William Worden 4. Elisabeth Kübler-Ross

3. J. William Worden

Individuals of which age group are most likely to have difficulty tolerating the intense feelings associated with the death of a loved one, even though they understand death to be universal and inevitable? 1. 9-year-olds 2. 12-year-olds 3. Adolescents 4. Adults

3. adolescents

Which stage of the grief response is an individual fixated on, when he or she exhibits inhibited grief in response to a loss? 1. Anger 2. Depression 3. Denial 4. Adjustment

3. denial

Which statement regarding the bereavement process is true? 1. The bereavement process ends within a prescribed interval. 2. Individuals who retain some aspects of the grieving process in the long run are not high-functioning. 3. Grief can reemerge in response to triggers at any time. 4. It is easier to come out of the bereavement process when the relationship with the lost entity had been highly ambivalent.

3. grief can reemerge in response to triggers at any time

How does it help a grieving client if the nurse encourages the client to discuss feelings related to the meaning of one's own existence in the face of current loss? 1. It increases the client's self-worth. 2. It encourages the client to trust in the nurse-client relationship. 3. It gives the client's life a return to a realistic perspective. 4. It helps the client find comfort in religious rituals with which he or she is familiar.

3. it gives the client's life a return to a realistic perspective

Which behavior is most likely to be observed in the restitution stage of the grief process, as outlined by George Engel? 1. Refusal to acknowledge the loss 2. Regression to a state of helplessness 3. Participation in rituals associated with loss 4. Preoccupation with the loss

3. participation in rituals associated with loss

What is a characteristic mourning practice among Mexican Americans? 1. Wearing white clothing for 14 days 2. Wearing a black armband and tying white strips of cloth around the head 3. Refraining from attending movies or social events and from listening to radio or watching television during the mourning period 4. Refraining from touching the dead body and openly expressing grief

3. refraining from attending movies or social events and from listening to radio or watching TV during the mourning period

In which stage of the grief process as outlined by Elizabeth Kübler-Ross does a bereaved individual attempt to strike a bargain with God for a second chance or for more time? 1. Stage I 2. Stage II 3. Stage III 4. Stage IV

3. stage III

Which statement describes Stage III of the grief response, as hypothesized by John Bowlby? 1. The individual accepts or becomes resigned to the loss. 2. The individual begins a reinvestment in new relationships. 3. The individual becomes increasingly disorganized about the activities of daily living. 4. The individual has a profound urge to recover what has been lost.

3. the individual becomes increasingly disorganized about the activities of daily living

Which statements are true regarding the attitudes of children between 3 and 5 years toward death? Select all that apply. 1. They are able to understand that death is final and eventually affects everyone. 2. They are interested in the physical aspects of dying and the final disposition of the body. 3. They are concerned with safety issues and require a great deal of personal reassurance that they will be protected. 4. They believe death is reversible. 5. They believe that death is contagious.

3. they are concerned with safety issues and require a great deal of personal reassurance that they will be protected 4. believe that death is reversible

Children of which age are most likely to personify death in their minds in the form of a monster? 1. 10-year-olds 2. 2-year-olds 3. 4-year-olds 4. 7-year-olds

4. 7-year-olds

Which stage of the grief process as outlined by Elizabeth Kübler-Ross is most likely to be characterized by numerous somatic complaints? 1. Bargaining 2. Denial 3. Acceptance 4. Anger

4. anger

Which community of people wears black armbands and ties white strips of cloth around their heads as a sign of mourning? 1. African Americans 2. Japanese Americans 3. Jewish Americans 4. Chinese Americans

4. chinese americans

Which statement regarding the fourth task of the grief process proposed by J. William Worden is true? 1. The bereaved person needs to purge the memory of the lost entity from his or her history to move on. 2. It is important for the bereaved person to recognize that the relationship between the person and the lost entity does not exist anymore. 3. The bereaved individual needs to find a replacement for the lost entity. 4. It is important for the bereaved person to not be purged or replaced, but relocated in the life of the bereaved.

4. it is important for the bereaved person to not be purged or replaces, but relocated in the life of the bereaved

In which stage of the grief response as outlined by George Engel does the bereaved individual idealize the concept of the loss? 1. Stage V 2. Stage II 3. Stage III 4. Stage IV

4. stage IV

Which stage of the grief response, as outlined by George Engel, is characterized by a preoccupation with the loss? 1. Stage I 2. Stage II 3. Stage III 4. Stage IV

4. stage IV

hich stage of the grief response, as outlined by George Engel, is characterized by a preoccupation with the loss? 1. Stage I 2. Stage II 3. Stage III 4. Stage IV

4. stage IV

Bowlby's model of grief:

Stage I: numbness or protest stage II: disequilibrium (urge to recover what was lost) stage III: disorganization and despair stage IV: reorganization (accepts the loss)