CHPN Grief and Bereavement Care 2

Question 1

Which researchers proposed the 'continuing bonds' theory of grief, challenging the idea that bereaved individuals must 'let go' of the deceased?

Accepted Answer

Klass, Silverman, and Nickman

Answer

Kübler-Ross and Ross

Answer

Worden and Parkes

Answer

Rando and Stroebe

Question 2

What does Stroebe and Schut's 'dual process model' of grief describe?

Accepted Answer

Oscillation between loss-orientation (confronting grief) and restoration-orientation (adapting to life changes)

Answer

The two phases of acute and chronic grief progression over time

Answer

The parallel processing of physical and emotional aspects of loss simultaneously

Answer

The dual caregiver and mourner roles experienced by family members

Question 3

Which of the following is NOT considered a normal grief reaction?

Accepted Answer

Persistent psychosis lasting more than 6 months after the death

Answer

Difficulty concentrating and short-term memory problems

Answer

Transient hallucinations of seeing or hearing the deceased

Answer

Fatigue, sleep disturbances, and changes in appetite

Question 4

A bereaved family member reports feeling angry at the deceased for 'leaving them.' What is the most appropriate nursing response?

Accepted Answer

Normalize the anger as a common grief response and provide a safe, non-judgmental space to express feelings

Answer

Redirect the family member to focus on positive memories of the deceased

Answer

Refer the family member to a psychiatrist immediately for anger management

Answer

Advise the family member to avoid expressing negative feelings out of respect for the deceased

Question 5

Kübler-Ross's five stages of grief include all of the following EXCEPT:

Accepted Answer

Guilt

Answer

Denial

Answer

Anger

Answer

Acceptance

Question 6

Which intervention is most appropriate for a bereaved family member showing signs of complicated grief?

Accepted Answer

Referral to a mental health professional specializing in grief therapy such as Complicated Grief Treatment

Answer

Encourage the family member to 'move on' and resume normal life within 6 months

Answer

Provide only written bereavement educational materials and pamphlets

Answer

Discontinue all contact since the patient has died and the hospice episode is closed

Question 7

Which statement best describes the difference between 'grief' and 'bereavement'?

Accepted Answer

Bereavement is the state of having experienced a loss; grief is the emotional, cognitive, and behavioral response to that loss

Answer

Grief refers to the death event itself; bereavement refers to the emotional response that follows

Answer

Grief is always pathological in nature; bereavement describes the normal adjustment process

Answer

Bereavement occurs before death during caregiving; grief only begins after the patient has died