CHPN Grief and Bereavement Care 3

Question 1

What characterizes 'disenfranchised grief,' a concept developed by Kenneth Doka?

Accepted Answer

Grief that is not openly acknowledged, publicly mourned, or socially supported because the loss is not recognized as significant by others

Answer

Disenfranchised grief refers to grief that lacks social recognition and support because the relationship or the loss itself is not acknowledged as worthy of mourning by the surrounding community.

Question 2

Which factor is most associated with better bereavement outcomes for family caregivers following a hospice patient's death?

Accepted Answer

Strong social support and a sense of having provided good care during the illness

Answer

Adequate social support and a sense of having provided good care are protective factors associated with better bereavement outcomes, including lower rates of complicated grief and depression.

Question 3

A bereaved spouse states they can still hear their deceased partner's voice calling their name at home. How should the nurse interpret this experience?

Accepted Answer

This is a normal grief experience commonly reported by bereaved individuals and not indicative of psychopathology

Answer

Transient hallucinations of hearing, seeing, or sensing the presence of the deceased are common and normal grief experiences widely documented in bereavement research, typically diminishing over time.

Question 4

What is 'resilience' in the context of bereavement research and clinical practice?

Accepted Answer

The ability to maintain relatively stable psychological and physical functioning while experiencing grief

Answer

In bereavement research, resilience describes maintaining relatively stable functioning despite experiencing grief — not the absence of grief or suppression of emotions.

Question 5

Which of the following best describes Rubin's 'two-track model of bereavement'?

Accepted Answer

The bereaved simultaneously manage functional adaptation (Track I) and the ongoing relational bond with the deceased (Track II)

Answer

Rubin's two-track model holds that bereaved individuals simultaneously navigate biopsychosocial functioning and adaptation (Track I) and their ongoing transformed relationship with the deceased (Track II).

CHPN - Certified Hospice and Palliative Nurse Practice Test

CHPN - Certified Hospice and Palliative Nurse Practice Test

CHPN Grief and Bereavement Care 3