Exam #2

Question 1

Protective factors in resiliency

Answer 1

Personality, Cultural, Social & environmental, family systems

Question 2

Murray Bowen’s recommendation of family loss history

Answer 2

Murray Bowen recommends completing a “family loss history” looking back two generations to assess unresolved family grief.

Question 3

Hallmarks of a family with complicated grief

Question 4

How do families vary in ability to express grief?

Answer 4

Families vary in their ability to express and tolerate feelings.

Question 5

Bowlby’s reference to grief and attachment

Question 6

Patterns of complicated mourning

Answer 6

Communication shut down, role disruption, coping asynchrony with judgment or conflict, boundary and coalition alteration, creation of family secrets, damaged assumptive world.

Question 7

Benefits of bereavement rituals

Answer 7

Increases a sense of control over events and feelings, rituals reach where words cannot, provides an opportunity to remember, honor, and stay connected to the person or life event, uses different senses for expression, increases community and belongingness, marks anniversaries and other special data, helps externalize deep emotions, promotes catharsis

Question 8

The function of planned rituals- Doka

Answer 8

Rituals of continuity, rituals of transition, rituals of reconciliation, rituals of affirmation, rituals of intensification

Question 9

Rituals of continuity

Answer 9

Honors the continuing bond

Question 10

Rituals of Transition

Answer 10

Marks a change in the grief process

Question 11

Rituals of reconciliation

Answer 11

Addresses “Unfinished Business”

Question 12

Rituals of affirmation

Answer 12

Communicates thanks and support

Question 13

Rituals of intensification

Answer 13

Emphasizes connections with others in a group with a common issue (9/11)

Question 14

Culturally competent practices for clinicians - Five practices

Answer 14

Self-Awareness, Awareness, understanding, and appreciation of difference, Dynamics of difference, Knowledge of the client’s culture, the adaptation of skills

Question 15

Self-awareness

Answer 15

Recognize the influence of your own culture when dealing with others, acknowledges issues of power and control, ongoing self-examination

Question 16

Awareness, understanding, and appreciation of difference

Answer 16

Acknowledge differences, gain awareness of differences, and identify common needs and how they will be met

Question 17

Dynamics of Difference

Answer 17

Misjudged interactions are often based on the past, client’s unique history has an influence on their world view, and interaction is “two-way” (client and provider)

Question 18

Knowledge of the client’s culture

Answer 18

Understanding behavior from a cultural context, assessing what specific knowledge may assist the process, knowing who to ask for information, and resource sources, total knowledge is not possible…Just ask!

Question 19

Adaptation of skills

Answer 19

Make adaptions in your interventions appropriate for the culture, improve your practice skills by having a broader experience, cultural understanding improves with time and experience.

Question 20

How do loss and grief impact employees and the workplace?

Answer 20

Lost productivity - Absenteeism, errors, turnover, claims

Question 21

EAPs

Answer 21

Provide short-term mental health counseling at no cost to employees, provide legal/financial/work-life services, 24/7 careline, website/tools, consultation with HR, self and formal referrals, training/webinars, CIRs, history: alcohol/substance

Question 22

Coping Don’ts for managers in the workplace

Answer 22

Assume everyone needs counseling, assume everyone needs to talk with someone, assume everyone will react in the same way, say you know how they are feeling, say you are strong enough to deal with this, suggest they are acting abnormally, tell them to “snap out of it”

Question 23

Coping Do’s for managers in the workplace

Answer 23

Increase visibility, ask if there is anything you can do to support them, ask what you can do for them, ask “Are you okay.” ask if it would be helpful for EAP to be available for them, ask what you can do to help them get their job done, ask them if they need a few minutes, demonstrate empathy, show concerned interest, observe your employees, take note of who is gaining or losing composure, check in with your employees that could be vulnerable due to life situations such as prevent deaths, illnesses, divorce, family situations, similar issues, etc.

Question 24

Factors that make the death of a child difficult for parents and different from other losses

Answer 24

Social expectations, Unexpectedness of child dying before parents, negative social responses, loss of support from spouse, needing to care for other surviving children

Question 25

Sheltering children from grief and loss?

Answer 25

Many people believe that it is better to shelter children from loss and death, yet all research suggests that not assisting them in bereaving will predispose them to significant pathology and life-long challenges.

Question 26

How varied grief reactions are for children

Answer 26

Grief reactions in children are varied, wide-ranging, and unique to everyone.

Question 27

Types of losses for children

Answer 27

Death of a parent or caregiver, imprisonment, substance abuse, divorce, separation from siblings, physical, sexual, emotional abuse, relocations and moves, changes in their daily routine, serious illness and/or hospitalization

Question 28

What things impact how a child or young person grieves?

Answer 28

Age, developmental stage, personality, ways they usually react to stress and emotion, relationship with the person who has died, earlier experiences of loss or death, family circumstances, how others around them are grieving, amount of support around them.

Question 29

What is important when talking to children or young persons about death?

Answer 29

Understand that a child’s grief may be expressed by play and/or acting out, include children in grief experience and give them permission to grieve, information should be accurate and developmentally appropriate, children should be told as soon as possibly by a person close to them and in familiar surroundings, convey to the child that they are cared about and loved even if the adults around them are upset and distracted, allow them to attend funerals if they want