CHPN CHPN Bereavement & Grief Support 1 — Questions and Answers
Question 1: According to the Medicare Hospice Benefit, how long must bereavement services be provided to the family after the patient's death?
- 13 months (Correct answer)
- 6 months
- 12 months
- 24 months
Correct answer: 13 months
The Medicare Hospice Benefit requires hospice programs to provide bereavement services to surviving family members for at least 13 months following the patient's death.
Question 2: Which theorist described grief as having five stages: denial, anger, bargaining, depression, and acceptance?
- Elisabeth Kübler-Ross (Correct answer)
- Colin Murray Parkes
- J. William Worden
- George Engel
Correct answer: Elisabeth Kübler-Ross
Elisabeth Kübler-Ross introduced the five stages of grief in her 1969 book 'On Death and Dying,' based on her work with terminally ill patients.
Question 3: J. William Worden's task-based model of grief identifies four tasks of mourning. Which of the following is one of those tasks?
- To find an enduring connection with the deceased while embarking on a new life (Correct answer)
- To reach acceptance within 12 months
- To eliminate all painful memories of the deceased
- To resume all pre-loss roles within 6 months
Correct answer: To find an enduring connection with the deceased while embarking on a new life
Worden's fourth task is to find a way to maintain a bond with the deceased while reinvesting in life, recognizing that grief is not about forgetting.
Question 4: A widow is seen 14 months after her husband's death and describes intense longing, difficulty accepting the loss, and inability to engage in daily life. This best describes:
- Prolonged grief disorder (Correct answer)
- Major depressive disorder
- Normal acute grief
- Adjustment disorder
Correct answer: Prolonged grief disorder
Prolonged grief disorder (PGD) is characterized by intense, persistent grief lasting beyond 12 months that impairs daily functioning and includes yearning and difficulty accepting the loss.
Question 5: Which of the following is a risk factor for complicated or prolonged grief?
- Sudden or traumatic death of the loved one (Correct answer)
- A long anticipated death after chronic illness
- Strong social support network
- Prior experience with loss and effective coping
Correct answer: Sudden or traumatic death of the loved one
Sudden or traumatic death, such as suicide or accident, is associated with higher rates of complicated grief due to the lack of preparation and potential trauma elements.
Question 6: What is the primary goal of the hospice bereavement assessment conducted before the patient's death?
- Identify family members at high risk for complicated grief to target follow-up resources (Correct answer)
- Determine legal next of kin
- Complete insurance paperwork
- Assess patient pain levels
Correct answer: Identify family members at high risk for complicated grief to target follow-up resources
Pre-death bereavement risk assessment identifies family members who may need more intensive grief support after the patient dies, allowing proactive resource planning.
CHPN CHPN Bereavement & Grief Support 1
According to the Medicare Hospice Benefit, how long must bereavement services be provided to the family after the patient's death?