Chapter 25: Loss and Grief

Chapter 25: Loss and Grief

Complete Chapter Questions With Answers

Sample Questions Are Posted Below

MULTIPLE CHOICE

1. Harold is a 45-year-old man who recently lost his job as a result of downsizing at his company. Harold was employed at this company since graduating from college and identifies himself by the work that he did. He is currently grieving as a result of which type of loss in his life?

ANS:   C

People experience an actual loss when they can no longer touch, hear, see, or have near them valued people or objects. Examples include the loss of a body part, pet, friend, life partner, or role at work.

PTS:    1                      DIF:    Cognitive Level: Application             REF:    655

OBJ:    Describe types of grief                       TOP:    Nursing Process: Assessment

MSC:   Client Needs: Psychosocial Integrity

2. Kelly is a nursing student who has maintained a 4.0 GPA since she has been in nursing school. The past semester she has started working, is planning a wedding, and has moved into a new home. Kelly has not been able to maintain the 4.0 GPA this semester and as a result, Kelly is feeling like a failure. How is this loss best described?

ANS:   D

Perceived losses are uniquely experienced by a grieving person and are often less obvious to others. A perceived loss is “real” to the person who feels the loss. A person may perceive that she is less loved by her parents, for example, and experiences a loss of self-esteem. Others often overlook or misunderstand perceived losses.

PTS:    1                      DIF:    Cognitive Level: Application             REF:    655

OBJ:    Describe types of grief                       TOP:    Nursing Process: Assessment

MSC:   Client Needs: Psychosocial Integrity

3. Jenny is the young mother of three children. Her oldest child has started school this year, and she cried as she left him at kindergarten on the first day. How is the loss that Jenny is experiencing best described?

ANS:   A

People experience maturational losses as they go through a lifetime of normal developmental processes. When a child goes to school for the first time, she will spend less time with her parent and the parent-child relationship changes. Acknowledging and grieving maturational losses help a person cope with the change.

PTS:    1                      DIF:    Cognitive Level: Application             REF:    655

OBJ:    Describe types of grief                       TOP:    Nursing Process: Assessment

MSC:   Client Needs: Psychosocial Integrity

4. Denise is a recently widowed mother of two. Her late husband was starting his own business, and she was managing the accounting paperwork. The family had no life or health insurance. When her husband suddenly died, Denise was left with a large hospital bill, funeral expenses, unemployment, and no means of support. How are the multiple losses that Denise is experiencing best described?

ANS:   B

Situational loss occurs as a result of a sudden, unpredictable life event. A situational loss often involves multiple losses. A divorce, for example, begins with the loss of a life companion, but often leads to financial strain, changes in living arrangements, less contact with one’s children, and loss of friends who were part of the couple’s married life.

PTS:    1                      DIF:    Cognitive Level: Application             REF:    655

OBJ:    Describe types of grief                       TOP:    Nursing Process: Assessment

MSC:   Client Needs: Psychosocial Integrity

5. Bowlby’s phases of mourning are founded on which of the following human instincts?

ANS:   A

Attachment theory serves as the foundation for Bowlby’s phases of mourning.

PTS:    1                      DIF:    Cognitive Level: Knowledge             REF:    656

OBJ:    Describe types of grief                       TOP:    Nursing Process: Assessment

MSC:   Client Needs: Psychosocial Integrity