Ch. 25 Grief & Loss

Question 1

Necessary Loss

Answer 1

Part of the cycle of life, anticipated but may still be intensely felt

Question 2

Actual loss

Answer 2

Any loss of a valued person or item

Question 3

Perceived loss

Answer 3

Any loss defined by a client that is not obvious to others

Question 4

Maturational loss

Answer 4

Losses normally expected due to the developmental processing of life

Question 5

Situational loss

Answer 5

Unanticipated loss caused by an external event

Question 6

Denial stage

Answer 6

Client has difficulty believing a terminal diagnosis or loss

Question 7

Anger stage

Answer 7

Anger is directed toward self, others, or objects

Question 8

Bargaining stage

Answer 8

Client negotiates for more time or a cure

Question 9

Acceptance stage

Answer 9

Client accepts what is happening and plans for the future

Question 10

Normal grief

Answer 10

Emotions include anger, resentment, withdrawal, hopelessness, and guilt but should change to acceptance with time
Acceptance evident by 6 months
Somatic complaints may include chest pain, palpitations, headaches, nausea, changes in sleep patterns, or fatigue

Question 11

Anticipatory grief

Answer 11

Individuals have the opportunity to grieve before the actual loss

Question 12

Dysfunctional grief

Answer 12

The work of grief is prolonged, clinical manifestation more severe, may result in depression or exacerbation of a pre-existing disorder
Suicidal ideation, intense feelings of guilt, and lowered self-esteem may develop

Question 13

Disenfranchised grief

Answer 13

Entails an experienced loss that cannot be publicly shared or is not socially acceptable, such as the loss fa loved one through suicide

Question 14

Grief experienced by public tragedy

Answer 14

Loss shared by a community or group of individuals