Chapter 28: Grief: In Loss and Death

Chapter 28: Grief: In Loss and Death

Complete Chapter Questions With Answers

Sample Questions Are Posted Below

MULTIPLE CHOICE

1. Which physical disturbance is commonly assessed in patients experiencing acute grief?

ANS: C

Chest discomfort is common with the bereaved person. Anorexia is more common. There is no research to support the connection with cardiovascular involvement. Insomnia is more frequent than sleepiness.

DIF:   Cognitive Level: Application        REF:  Page 650

TOP:  Nursing Process: Assessment        MSC: NCLEX: Psychosocial Integrity

2. When differentiating between bereavement symptoms and depression, the nurse will base the formulation on knowledge that in bereavement:

ANS: B

Acute exacerbations are common especially around holidays and significant milestones. The remaining options are more common with depression.

DIF:   Cognitive Level: Application        REF:  Page 649

TOP:  Nursing Process: Assessment        MSC: NCLEX: Psychosocial Integrity

3. A grief support group is held at the local community center to assist persons who are dealing with issues of loss. Which remark by one of the members would the nurse interpret as indicating unresolved feelings of guilt?

ANS: C

Unresolved guilt reflects that the person should have done more. Expressing peace with a situation indicates closure on the husband’s life. Missing indicates continued grieving but not guilt. Reflection on difficult times is not guilt.

DIF:   Cognitive Level: Application        REF:  Page 654

TOP:  Nursing Process: Assessment        MSC: NCLEX: Psychosocial Integrity

4. A young woman had just learned of the accidental death of her husband. She begins to cry and states, “It’s not fair! How could he do this to me?” This remark is assessed as:

ANS: C

The remark indicates anger that her husband died on purpose. She is not asking for help nor is there data to support an explosive response. She is not stating fear.

DIF:   Cognitive Level: Application        REF:  Page 646

TOP:  Nursing Process: Assessment        MSC: NCLEX: Psychosocial Integrity