Psychiatric Mental Health Nursing by Videbeck

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Chapter Study Guide

➤ MULTIPLE-CHOICE QUESTIONS

Select the best answer for each of the following
questions.

1. Which of the following accurately lists Bowlby’s
   phases of the grieving process?

A. Denial, anger, depression, bargaining,

acceptance

B. Shock, outcry, and denial; intrusion of

thought, distractions, and obsessive reviewing

of the loss; confiding in others to emote and

cognitively restructure an account of the loss

C. Numbness and denial of the loss, emotional

yearning for the loved one and protesting per-

manence of the loss, cognitive disorganization

and emotional despair, reorganizing and

reintegrating a sense of self

D. Reeling, feeling, dealing, healing

2. Which of the following give cues to the nurse
   that a client may be grieving for a loss?

A. Sad affect, anger, anxiety, and sudden

changes in mood

B. Thoughts, feelings, behavior, and physiologic

complaints

C. Hallucinations, panic level of anxiety, sense

of impending doom

D. Complaints of abdominal pain, diarrhea, and

loss of appetite

3. Situations that are considered risk factors for
   complicated grief are

A. inadequate support and old age

B. childbirth, marriage, and divorce

C. death of a spouse or child, death by suicide,

sudden and unexpected death

D. inadequate perception of the grieving crisis

4. Physiologic responses of complicated grieving
   include
   A. tearfulness when recalling significant memo-
   ries of the lost one
   B. impaired appetite, weight loss, lack of energy,
   palpitations
   C. depression, panic disorders, chronic grief
   D. impaired immune system, increased serum
   prolactin level, increased mortality rate from
   heart disease


5. Critical factors for successful integration of loss
   during the grieving process are
   A. the client’s adequate perception, adequate
   support, and adequate coping
   B. the nurse’s trustworthiness and healthy
   attitudes about grief
   C. accurate assessment and intervention by the
   nurse or helping person
   D. the client’s predictable and steady movement
   from one stage of the process to the next

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