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

Klass, Silverman, and Nickman proposed the continuing bonds theory in 1996, suggesting that maintaining an ongoing connection with the deceased is normal and healthy rather than something to overcome.

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

Stroebe and Schut's dual process model describes how bereaved individuals naturally oscillate between loss-orientation (processing pain of the loss) and restoration-orientation (coping with secondary stressors and rebuilding life).

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

Persistent psychosis lasting more than 6 months is not a normal grief reaction and warrants psychiatric evaluation, whereas brief hallucinations, cognitive difficulties, and fatigue are common normal grief manifestations.

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

Anger toward the deceased is a normal grief response; the nurse should normalize these feelings and create a safe environment for expression rather than redirecting or pathologizing the emotion.

Question 5

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

Accepted Answer

Guilt

Answer

Kübler-Ross's five stages are denial, anger, bargaining, depression, and acceptance; guilt is not one of the five stages, though it is a common grief experience.

CHPN - Certified Hospice and Palliative Nurse Practice Test

CHPN - Certified Hospice and Palliative Nurse Practice Test

CHPN Grief and Bereavement Care 2