NSG 221 Exam 2: (Latest 2026/2027 Update) Grief, Anger, & Disruptive
Behavior Disorders | Q&A | Grade A | 100% Correct (Verified Answers) –
Nursing Program
Subject: NSG 221 – Psychiatric-Mental Health Nursing
Source: NSG 221 Exam 2 Blueprint 2026/2027
Format: Q&A Guide with Rationale | Verified Grade A
1. What are Rando's 6 stages of grief?
Correct Answer: Recognize loss as real, React (emotional response), Recollect (reexperience/relive
memories), Relinquish (accept the change it brings), Readjust (return to daily life), Reinvest (reenter
world).
1. Rando's model emphasizes the active process of grieving.
2. Recognizes grief as dynamic, not passive.
3. Used in complicated grief therapy.
2. What are Engel's 5 stages of grief?
Correct Answer: Shock and Disbelief, Develop Awareness, Restitution, Resolution, Recovery.
1. Engel focused on psychological adaptation to loss.
2. Restitution includes rituals (funerals, memorials).
3. Recovery indicates return to previous level of functioning.
3. What are Kübler-Ross stages of grief?
Correct Answer: Denial (shock/isolation), Anger, Bargaining, Depression, Acceptance.
1. Based on studies of terminally ill patients.
2. Not linear; patients may move between stages.
3. Most widely known grief model.
4. What are emotional responses to grief?
Correct Answer: Anger, sadness, and anxiety are the predominant emotional responses to loss. The
grieving person may direct anger and resentment toward the dead person and their health practices,
family members, or healthcare providers/institutions.
1. Anger may be displaced onto caregivers.
2. Sadness includes crying, loneliness, emptiness.
3. Anxiety about future without the deceased.
, 5. What are cognitive responses to grief?
Correct Answer: Questioning and trying to make sense of the loss ("Why did this have to happen to
her, she was always so health conscious!") Attempting to keep the lost one present (carrying on dialogue
with them, "I wish you were here to show me....").
1. Cognitive processing involves searching for meaning.
2. Rumination and intrusive thoughts common.
3. May include fantasies of reunion or changing the outcome.
6. What are spiritual responses to grief?
Correct Answer: Disillusioned and angry with God; anguish of abandonment or perceived
abandonment; hopelessness, meaninglessness.
1. Spiritual distress common in grief.
2. May question faith or belief system.
3. Pastoral counseling may help spiritual coping.
7. What are physiologic responses to grief?
Correct Answer: Insomnia, headaches, impaired appetite, weight loss, lack of energy, palpitations,
indigestion, and changes in the immune and endocrine systems.
1. Grief affects physical health (broken heart syndrome).
2. Cortisol and immune function changes increase illness risk.
3. Sleep disturbance is most common.
8. What are behavioral responses to grief?
Correct Answer: Personality changes, decreased socialization.
1. Withdrawal from activities and relationships.
2. May avoid reminders of the deceased.
3. Normal during early grief; concerning if prolonged.
9. What is anticipatory grief?
Correct Answer: A syndrome characterized by the presence of grief in anticipation of death or loss.
1. Occurs before actual death (terminal illness).
2. May facilitate preparation and saying goodbye.
3. Does not shorten post-death grief
10. What is grieving?
Correct Answer: The process by which a person experiences grief (normal and complex bereavement).
1. Grief is the internal experience; mourning is external expression.
2. Normal grief resolves over time.
3. Complicated grief persists >12 months (adults).
Behavior Disorders | Q&A | Grade A | 100% Correct (Verified Answers) –
Nursing Program
Subject: NSG 221 – Psychiatric-Mental Health Nursing
Source: NSG 221 Exam 2 Blueprint 2026/2027
Format: Q&A Guide with Rationale | Verified Grade A
1. What are Rando's 6 stages of grief?
Correct Answer: Recognize loss as real, React (emotional response), Recollect (reexperience/relive
memories), Relinquish (accept the change it brings), Readjust (return to daily life), Reinvest (reenter
world).
1. Rando's model emphasizes the active process of grieving.
2. Recognizes grief as dynamic, not passive.
3. Used in complicated grief therapy.
2. What are Engel's 5 stages of grief?
Correct Answer: Shock and Disbelief, Develop Awareness, Restitution, Resolution, Recovery.
1. Engel focused on psychological adaptation to loss.
2. Restitution includes rituals (funerals, memorials).
3. Recovery indicates return to previous level of functioning.
3. What are Kübler-Ross stages of grief?
Correct Answer: Denial (shock/isolation), Anger, Bargaining, Depression, Acceptance.
1. Based on studies of terminally ill patients.
2. Not linear; patients may move between stages.
3. Most widely known grief model.
4. What are emotional responses to grief?
Correct Answer: Anger, sadness, and anxiety are the predominant emotional responses to loss. The
grieving person may direct anger and resentment toward the dead person and their health practices,
family members, or healthcare providers/institutions.
1. Anger may be displaced onto caregivers.
2. Sadness includes crying, loneliness, emptiness.
3. Anxiety about future without the deceased.
, 5. What are cognitive responses to grief?
Correct Answer: Questioning and trying to make sense of the loss ("Why did this have to happen to
her, she was always so health conscious!") Attempting to keep the lost one present (carrying on dialogue
with them, "I wish you were here to show me....").
1. Cognitive processing involves searching for meaning.
2. Rumination and intrusive thoughts common.
3. May include fantasies of reunion or changing the outcome.
6. What are spiritual responses to grief?
Correct Answer: Disillusioned and angry with God; anguish of abandonment or perceived
abandonment; hopelessness, meaninglessness.
1. Spiritual distress common in grief.
2. May question faith or belief system.
3. Pastoral counseling may help spiritual coping.
7. What are physiologic responses to grief?
Correct Answer: Insomnia, headaches, impaired appetite, weight loss, lack of energy, palpitations,
indigestion, and changes in the immune and endocrine systems.
1. Grief affects physical health (broken heart syndrome).
2. Cortisol and immune function changes increase illness risk.
3. Sleep disturbance is most common.
8. What are behavioral responses to grief?
Correct Answer: Personality changes, decreased socialization.
1. Withdrawal from activities and relationships.
2. May avoid reminders of the deceased.
3. Normal during early grief; concerning if prolonged.
9. What is anticipatory grief?
Correct Answer: A syndrome characterized by the presence of grief in anticipation of death or loss.
1. Occurs before actual death (terminal illness).
2. May facilitate preparation and saying goodbye.
3. Does not shorten post-death grief
10. What is grieving?
Correct Answer: The process by which a person experiences grief (normal and complex bereavement).
1. Grief is the internal experience; mourning is external expression.
2. Normal grief resolves over time.
3. Complicated grief persists >12 months (adults).
