HESI NSG 221 MENTAL HEALTH
EXAM 2023 PRACTICE QUESTIONS
AND COMPLETE SOLUTIONS 5
COPIES
◉ Physiologic Loss. Answer: Examples include amputation of a limb, a
mastectomy or hysterectomy, or loss of mobility.
◉ Safety Loss. Answer: Loss of a safe environment is evident in
domestic violence, child abuse, or public violence. A person's home
should be a safe haven with trust that family members will provide
protection, not harm or violence. Some public institutions, such as
schools and churches, are often associated with safety as well. That
feeling of safety is shattered when violence occurs on campus or in a
holy place.
◉ Loss of Security and a Sense of Belonging. Answer: The loss of a
loved one affects the need to love and the feeling of being loved. Loss
accompanies changes in relationships, such as birth, marriage, divorce,
illness, and death; as the meaning of a relationship changes, a person
may lose roles within a family or group.
◉ Loss of Self-Esteem. Answer: Any change in how a person is valued
at work or in relationships or by him or herself can threaten self-esteem.
It may be an actual change or the person's perception of a change in
value. Death of a loved one, a broken relationship, loss of a job, and
retirement are examples of change that represent loss and can result in a
threat to self-esteem.
,◉ Loss Related to Self-Actualization. Answer: An external or internal
crisis that blocks or inhibits striving toward fulfillment may threaten
personal goals and individual potential. A person who wanted to go to
college, write books, and teach at a university reaches a point in life
when it becomes evident that those plans will never materialize or a
person loses hope that he or she will find a mate and have children.
These are losses that the person will grieve.
◉ Kubler-Ross Name of 5 Stages. Answer: 1. Denial
2. Anger
3. Bargaining
4. Depression
5. Acceptance
◉ Kubler-Ross 5 Stages of Grief: Denial. Answer: 1. Denial is shock
and disbelief regarding the loss.
◉ Kubler-Ross 5 Stages of Grief: Anger. Answer: 2. Anger may be
expressed toward God, relatives, friends, or health care providers.
◉ Kubler-Ross 5 Stages of Grief: Bargaining. Answer: 3. Bargaining
occurs when the person asks God or fate for more time to delay the
inevitable loss.
, ◉ Kubler-Ross 5 Stages of Grief: Depression. Answer: 4. Depression
results when awareness of the loss becomes acute.
◉ Kubler-Ross 5 Stages of Grief: Acceptance. Answer: 5. Acceptance
occurs when the person shows evidence of coming to terms with death.
This model became a prototype for care providers as they looked for
ways to understand and assist their clients in the grieving process.
◉ Engel Name of 5 Stages of Loss. Answer: 1. Shock and Disbelief
2. Developing Awareness
3. Restitution
4. Resolution of Loss
5. Recovery
◉ Engel Stages of Loss: Shock & Belief. Answer: 1. Shock and
disbelief: The initial reaction to a loss is a stunned, numb feeling
accompanied by refusal to acknowledge the reality of the loss in an
attempt to protect the self against overwhelming stress.
◉ Engel Stages of Loss: Developing Awareness. Answer: 2. Developing
awareness: As the individual begins to acknowledge the loss, there may
be crying, feelings of helplessness, frustration, despair, and anger that
can be directed at self or others, including God or the deceased person.
◉ Engel Stages of Loss: Restitution. Answer: 3. Restitution:
Participation in the rituals associated with death, such as a funeral, wake,
EXAM 2023 PRACTICE QUESTIONS
AND COMPLETE SOLUTIONS 5
COPIES
◉ Physiologic Loss. Answer: Examples include amputation of a limb, a
mastectomy or hysterectomy, or loss of mobility.
◉ Safety Loss. Answer: Loss of a safe environment is evident in
domestic violence, child abuse, or public violence. A person's home
should be a safe haven with trust that family members will provide
protection, not harm or violence. Some public institutions, such as
schools and churches, are often associated with safety as well. That
feeling of safety is shattered when violence occurs on campus or in a
holy place.
◉ Loss of Security and a Sense of Belonging. Answer: The loss of a
loved one affects the need to love and the feeling of being loved. Loss
accompanies changes in relationships, such as birth, marriage, divorce,
illness, and death; as the meaning of a relationship changes, a person
may lose roles within a family or group.
◉ Loss of Self-Esteem. Answer: Any change in how a person is valued
at work or in relationships or by him or herself can threaten self-esteem.
It may be an actual change or the person's perception of a change in
value. Death of a loved one, a broken relationship, loss of a job, and
retirement are examples of change that represent loss and can result in a
threat to self-esteem.
,◉ Loss Related to Self-Actualization. Answer: An external or internal
crisis that blocks or inhibits striving toward fulfillment may threaten
personal goals and individual potential. A person who wanted to go to
college, write books, and teach at a university reaches a point in life
when it becomes evident that those plans will never materialize or a
person loses hope that he or she will find a mate and have children.
These are losses that the person will grieve.
◉ Kubler-Ross Name of 5 Stages. Answer: 1. Denial
2. Anger
3. Bargaining
4. Depression
5. Acceptance
◉ Kubler-Ross 5 Stages of Grief: Denial. Answer: 1. Denial is shock
and disbelief regarding the loss.
◉ Kubler-Ross 5 Stages of Grief: Anger. Answer: 2. Anger may be
expressed toward God, relatives, friends, or health care providers.
◉ Kubler-Ross 5 Stages of Grief: Bargaining. Answer: 3. Bargaining
occurs when the person asks God or fate for more time to delay the
inevitable loss.
, ◉ Kubler-Ross 5 Stages of Grief: Depression. Answer: 4. Depression
results when awareness of the loss becomes acute.
◉ Kubler-Ross 5 Stages of Grief: Acceptance. Answer: 5. Acceptance
occurs when the person shows evidence of coming to terms with death.
This model became a prototype for care providers as they looked for
ways to understand and assist their clients in the grieving process.
◉ Engel Name of 5 Stages of Loss. Answer: 1. Shock and Disbelief
2. Developing Awareness
3. Restitution
4. Resolution of Loss
5. Recovery
◉ Engel Stages of Loss: Shock & Belief. Answer: 1. Shock and
disbelief: The initial reaction to a loss is a stunned, numb feeling
accompanied by refusal to acknowledge the reality of the loss in an
attempt to protect the self against overwhelming stress.
◉ Engel Stages of Loss: Developing Awareness. Answer: 2. Developing
awareness: As the individual begins to acknowledge the loss, there may
be crying, feelings of helplessness, frustration, despair, and anger that
can be directed at self or others, including God or the deceased person.
◉ Engel Stages of Loss: Restitution. Answer: 3. Restitution:
Participation in the rituals associated with death, such as a funeral, wake,
