Grief and Death

Match the patient statement with the associated stage of Bowlby's model of grief. "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." Shock and numbness Disorganization and despair Reorganization Searching and yearning

"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

Place Sheldon's stages of grief in the order in which they are experienced. 1. A feeling of disbelief 2. Inability to live without the deceased 3. Building a life without the deceased 4. A deep sadness at the loss of the deceased

1. A feeling of disbelief 2. A deep sadness at the loss of the deceased 3. Inability to live without the deceased 4. Building a life without the deceased

Place the Bowlby stages of grief in the order in which they are experienced. Inability to feel emotion Emergence of strong negative emotions and longing for the deceased Withdrawal and pain surface as longing for deceased diminishes Ability to live life without the deceased

1. Inability to feel emotion 2. Emergence of strong negative emotions and longing for the deceased 3. Withdrawal and pain surface as longing for deceased diminishes 4. Ability to live life without the deceased

Place these Kubler-Ross stages of grief in the order in which they are experienced by a dying patient. Refusing to believe the reality of death Wondering, "Why is this happening to me?" Offering anything to keep living Giving up hope

1. Refusing to believe the reality of death 2. Wondering, "Why is this happening to me?" 3. Offering anything to keep living 4. Giving up hope

Match the factor with the example of how it affects grief and coping. 1. Spiritual beliefs can offer comfort and support 2. Grief counseling can help people cope with intense emotions 3. People with a higher education can obtain more support and coping skills Religion Social support Socioeconomic status

1. Spiritual beliefs can offer comfort and support Religion 2. Grief counseling can help people cope with intense emotions Social support 3. People with a higher education can obtain more support and coping skills Socioeconomic status

Match the situation with the type of complicated grief it exemplifies. 1. Turning to alcohol to cope 2. Avoidance of coping with grief 3. Intense grief 8 months after the death 4. Failure to recognize the intensity of grief Exaggerated Delayed Chronic Masked

1. Turning to alcohol to cope Exaggerated 2. Avoidance of coping with grief Delayed 3. Intense grief 8 months after the death Chronic 4. Failure to recognize the intensity of grief Masked

Match the type of loss with how it influences an individual's grief process. 1. Grieving of a dream 2. Threatens the sense of security 3. Threatens the sense of security 4. Feelings of shame, fear, guilt, rejection, and anger Stillbirth Loss related to murder Loss related to suicide Loss related to sudden death

1.Grieving of a dream Stillbirth 2.Threatens the sense of security Loss related to murder 3. Feelings of shame, fear, guilt, rejection, and anger Loss related to suicide 4. Feeling of a loss of control Loss related to sudden death

Place the necessary tasks of grieving and mourning in order, according to Worden. 1. Not believing the loss 2. Making necessary changes to adjust to the loss 3. Developing new relationships 4. Acknowledging the loss

1.Not believing the loss 2. Acknowledging the loss 3. Making necessary changes to adjust to the loss 4. Developing new relationships

Which situations describe a person experiencing complicated grief? A. A person searches for the deceased many months after the death. Complicated grief is characterized by denial of the death, such as searching for the person in familiar places. B. A person is not able to maintain normal daily routines because of the grief. Complicated grief is characterized by an inability to maintain daily routines. C. A person is still actively grieving the death of a friend 2 years after the death. Complicated grief is characterized by distressing symptoms at least 6 months after the relevant death. D. A person thinks about the deceased every now and then 3 years after the death. Complicated grief is not characterized by occasional thoughts about the deceased. E. A person is trying to establish new interests, but is still grieving the deceased 2 months after the death. Both complicated and uncomplicated grief is characterized by grief 2 months after a loss. The fact that the bereaved is attempting to establish new interests suggests healthy coping skills.

A. A person searches for the deceased many months after the death. Complicated grief is characterized by denial of the death, such as searching for the person in familiar places. B. A person is not able to maintain normal daily routines because of the grief. Complicated grief is characterized by an inability to maintain daily routines. C. A person is still actively grieving the death of a friend 2 years after the death. Complicated grief is characterized by distressing symptoms at least 6 months after the relevant death.

A patient who has recently suffered a loss presents with insomnia and loss of appetite. Which type of reaction to the loss is the patient experiencing? A. Physical Sleep disturbances and changes in appetite exemplify a physical reaction to a loss. B. Cognitive A cognitive reaction to stress would involve cognitive abilities, such as a preoccupation with the deceased or confusion, but not insomnia and appetite loss. C. Emotional An emotional reaction to stress would involve emotions such as shock, anxiety, depression, but not insomnia and appetite loss. D. Behavioral A behavioral reaction to stress would involve behavioral changes, such as crying, but not insomnia and appetite loss.

A. Physical Sleep disturbances and changes in appetite exemplify a physical reaction to a loss.

Which behaviors suggest a person is experiencing complicated grief? A. Questioning the reality of the death A symptom of complicated grief is denial or disbelief of the death. B. Expressing deep need for the deceased A symptom of complicated grief is an intense longing or deep need for the deceased, often more than 6 months after the death. C. Sadness immediately following the death Sadness immediately following a death is a normal reaction and does not indicate complicated grief. D. Attempt to rebuild a life without the deceased Attempting to rebuild a life without the deceased is a normal and healthy way of coping with loss. E. Avoiding restaurants and stores the deceased frequented A symptom of complicated grief is avoidance of things that are reminders of the loss.

A. Questioning the reality of the death A symptom of complicated grief is denial or disbelief of the death. B. Expressing deep need for the deceased A symptom of complicated grief is an intense longing or deep need for the deceased, often more than 6 months after the death. E. Avoiding restaurants and stores the deceased frequented A symptom of complicated grief is avoidance of things that are reminders of the loss.

Which reactions are examples of bereavement? A. Sorrow Sorrow is an example of emotional bereavement after loss. B Insomnia Sleep disturbances are an example of physical bereavement after loss. C. Excessive crying Excessive crying is an example of behavioral bereavement after loss. D Denial of the loss Denial of the loss is not an example of bereavement, which involves the inner feelings and outward expressions that people demonstrate when experiencing a loss. E. Wearing black for a period after the loss Wearing black for a period after a loss is an example of social expression of mourning, which is a part of bereavement.

A. Sorrow Sorrow is an example of emotional bereavement after loss. B Insomnia Sleep disturbances are an example of physical bereavement after loss. C. Excessive crying Excessive crying is an example of behavioral bereavement after loss. E. Wearing black for a period after the loss Wearing black for a period after a loss is an example of social expression of mourning, which is a part of bereavement.

Which factors influence the grieving process of a female patient who suffers the loss of a close male friend who was of a similar age? A. The manner of death The circumstances surrounding the death of the friend is a factor related B. The age of the deceased The age of a person at the time of death has an impact on the process of grief and bereavement. C. The gender of the patient The gender of the patient will influence the grieving process, as men and women experience grief differently. D. The gender of the deceased The gender of the deceased is not expected to influence the grieving process for the bereaved. E. The relationship between the patient and the deceased The nature of the relationship to the deceased is a factor related to grief and bereavement.

A. The manner of death The circumstances surrounding the death of the friend is a factor related B. The age of the deceased The age of a person at the time of death has an impact on the process of grief and bereavement. C. The gender of the patient The gender of the patient will influence the grieving process, as men and women experience grief differently. E. The relationship between the patient and the deceased The nature of the relationship to the deceased is a factor related to grief and bereavement.

According to Worden, which physical adjustments are necessary for the bereaved to restructure and redefine life after a loss? A. Accepting the loss of the deceased Accepting the loss of the deceased is an important step for the bereaved to restructure and redefine their life after a loss; however, it is not a physical adjustment. B. Restructuring financial responsibilities According to Worden, financial adjustment, as in restructuring the financial responsibilities, is necessary for the bereaved to redefine life after a loss. C. Removing the deceased's clothes and personal items According to Worden, physical adjustment, as in removing the deceased's clothes from the home, is necessary for the bereaved to redefine life after a loss. D. Finding other avenues of support and companionship According to Worden, finding other avenues of support and companionship, is necessary for the bereaved to redefine life after a loss. E. Ensuring the deceased maintains a primary presence in the bereaved person's life The bereaved must emotionally relocate the deceased and move on with life, not keep the deceased as a primary presence in life, in order to redefine life after a loss.

B. Restructuring financial responsibilities According to Worden, financial adjustment, as in restructuring the financial responsibilities, is necessary for the bereaved to redefine life after a loss. C. Removing the deceased's clothes and personal items According to Worden, physical adjustment, as in removing the deceased's clothes from the home, is necessary for the bereaved to redefine life after a loss. D. Finding other avenues of support and companionship According to Worden, finding other avenues of support and companionship, is necessary for the bereaved to redefine life after a loss.

A patient is struggling with the loss of a family member to suicide. Which factors may affect the way that this patient copes with the loss? A. Age of the patient The age of the patient is not expected to affect coping with the loss of a family member. B. Gender of the deceased The gender of the deceased is not expected to affect the way the C. Fact that the deceased was family The nature of the relationship to the deceased, particularly if close such as with family, affect the way the bereaved copes with the loss. D. Which other family members have died The specific family members that have already died typically do not affect the way the bereaved copes with loss of a specific family member. E. Manner in which the family member died The circumstances surrounding a death, such as in a suicide, affect the way the bereaved copes with the loss.

C. Fact that the deceased was family The nature of the relationship to the deceased, particularly if close such as with family, affect the way the bereaved copes with the loss. E. Manner in which the family member died The circumstances surrounding a death, such as in a suicide, affect the way the bereaved copes with the loss.

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? A. Health and grieving are unrelated The health of the bereaved affects the grieving process and the bereaved person's ability to cope with loss. B. Illness enhances the ability to cope with loss Illness is not expected to enhance the ability to cope with loss. C. Illness may interfere with the ability to cope with loss Physical health influences the grieving process, such that poor physical health can interfere with the ability to cope with loss. D. Illness often helps the grieving process by distracting the bereaved Illness is not expected to distract the patient from the grieving process. Moreover, distraction would not be a constructive manner of coping with loss.

C. Illness may interfere with the ability to cope with loss Physical health influences the grieving process, such that poor physical health can interfere with the ability to cope with loss.

A patient who has recently lost a child finally gives away the child's clothes. Which of Sheldon's stages of grief has the patient completed? A. Despair The despair stage is completed by adjusting to an environment in which the deceased is missing, and comes after accepting the reality of the loss as exhibited by giving away the child's clothes. B. Adjustment The adjustment stage is completed by emotionally relocating the deceased to an important, but not central, place in the bereaved person's life; moving on comes after accepting the reality of the loss, as exhibited by giving away the child's clothes. C. Initial shock The initial shock stage is completed by accepting the reality of the loss, as exhibited by giving away the child's clothes. D. Pangs of grief The pangs of grief stage is completed by experiencing the pain of grief, and comes after accepting the reality of the loss, as exhibited by giving away the child's clothes.

C. Initial shock The initial shock stage is completed by accepting the reality of the loss, as exhibited by giving away the child's clothes.

Which problems reported by a patient may represent cognitive reactions to a loss? A. Chest pain Chest pain is a physical, not cognitive, reaction to loss. B. Irritability Irritability is a behavioral, not cognitive, reaction to loss. C. Loss of interest in hobbies Loss of interest in previously pleasurable activities is an emotional, not cognitive, reaction to loss. D. Difficulty performing daily tasks A cognitive reaction to loss may manifest in an inability to concentrate and result in difficulty performing daily tasks. E. Inability to remember the day of the week A cognitive reaction to loss may manifest in forgetfulness, such as an inability to remember the day of the week.

D. Difficulty performing daily tasks A cognitive reaction to loss may manifest in an inability to concentrate and result in difficulty performing daily tasks. E. Inability to remember the day of the week A cognitive reaction to loss may manifest in forgetfulness, such as an inability to remember the day of the week.

A patient who has recently loss a spouse refuses to bathe, dress, or get out of bed until the spouse comes home. Which type of grief is the patient experiencing? A. Chronic Chronic grief is indicated by grief reactions that do not diminish over time, and not grief reactions that interfere with daily life. B. Masked Masked grief occurs when someone is unaware that grief is interfering with normal functioning, not an obvious interruption of daily life tasks such as bathing and dressing. C. Delayed Delayed grief occurs when the grief reaction is suppressed to avoid pain, not grief reactions that interfere with daily life. D. Exaggerated Exaggerated grief occurs when the survivor is overwhelmed by grief and cannot function, and includes the inability to accept the loss and perform daily tasks, such as bathing or dressing.

D. Exaggerated Exaggerated grief occurs when the survivor is overwhelmed by grief and cannot function, and includes the inability to accept the loss and perform daily tasks, such as bathing or dressing.

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 this patient experiencing? A. Chronic Chronic grief is indicated by grief reactions that do not diminish over time, not alcohol abuse and an inability to function at work resulting from overwhelming grief. B. Masked Masked grief occurs when someone is unaware that grief is interfering with normal functioning, not alcohol abuse and an inability to function at work resulting from overwhelming grief. C. Delayed Delayed grief occurs when the grief reaction is suppressed to avoid pain, not alcohol abuse and an inability to function at work resulting from overwhelming grief. D. Exaggerated Exaggerated grief occurs when the survivor is overwhelmed by grief and cannot function. People experiencing exaggerated grief may often turn to drugs and alcohol to cope.

D. Exaggerated Exaggerated grief occurs when the survivor is overwhelmed by grief and cannot function. People experiencing exaggerated grief may often turn to drugs and alcohol to cope.

Match the grief ritual or practice with the culture in which it is practiced. Immediate burial Involvement of rabbi Judaism Cremated ashes scattered in sacred rivers Islam Judaism Hinduism

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