NSG 221 Mental Health Exam Two - (Latest 2026/2027 Update) Grief, Loss,
Anger, Substance Abuse & Aggression Management | Q&A | Grade A | 100%
Correct (Verified Answers)
Subject: Mental Health Nursing / Grief, Anger, & Substance Use Disorders
Source: NSG 221 Exam Two – Comprehensive Review
Format: Q&A Guide with Clinical Rationale
1: What are mourning rituals?
Correct Answer: Mourning is the outward expression of grief. Rituals of mourning include having a
wake, sitting shiva, holding religious ceremonies, and arranging funerals.
1. Mourning rituals vary across cultures and religions.
2. Provide structured expression of grief.
3. Facilitate acceptance of loss and social support.
2: What is a physiologic loss?
Correct Answer: Examples include amputation of a limb, a mastectomy or hysterectomy, or loss of
mobility.
1. Loss of body part or function.
2. Often requires adaptation and rehabilitation.
3. May involve grieving the loss of previous abilities.
3: What is safety loss?
Correct 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.
1. Trauma and violence shatter basic sense of security.
2. Can lead to PTSD and anxiety disorders.
3. Requires rebuilding trust and safety.
4: What is loss of security and a sense of belonging?
Correct 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.
1. Social losses affect identity and connection.
2. Can lead to loneliness and isolation.
3. Support groups help restore sense of belonging.
, 5: What is loss of self-esteem?
Correct 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.
1. Loss of role or status affects self-worth.
2. May lead to depression or anxiety.
3. Therapeutic support helps rebuild self-esteem.
6: What is loss related to self-actualization?
Correct 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.
1. Loss of hopes, dreams, and future plans.
2. May occur with aging or disability.
3. Requires re-evaluation of life goals and meaning.
7: What are Kubler-Ross's five stages of grief?
Correct Answer: 1. Denial, 2. Anger, 3. Bargaining, 4. Depression, 5. Acceptance.
1. Not necessarily linear; individuals may move back and forth.
2. Stages may vary in duration and intensity.
3. Originally described for terminally ill patients; now applied to all losses.
8: Describe Kubler-Ross stage: Denial
Correct Answer: Denial is shock and disbelief regarding the loss.
1. Protective mechanism against overwhelming reality.
2. "This can't be happening to me."
3. Gradually gives way as reality sets in.
9: Describe Kubler-Ross stage: Anger
Correct Answer: Anger may be expressed toward God, relatives, friends, or health care providers.
1. "Why me?" "Who is to blame?"
2. May be directed at any target.
3. Normal response requiring nonjudgmental acceptance.
Anger, Substance Abuse & Aggression Management | Q&A | Grade A | 100%
Correct (Verified Answers)
Subject: Mental Health Nursing / Grief, Anger, & Substance Use Disorders
Source: NSG 221 Exam Two – Comprehensive Review
Format: Q&A Guide with Clinical Rationale
1: What are mourning rituals?
Correct Answer: Mourning is the outward expression of grief. Rituals of mourning include having a
wake, sitting shiva, holding religious ceremonies, and arranging funerals.
1. Mourning rituals vary across cultures and religions.
2. Provide structured expression of grief.
3. Facilitate acceptance of loss and social support.
2: What is a physiologic loss?
Correct Answer: Examples include amputation of a limb, a mastectomy or hysterectomy, or loss of
mobility.
1. Loss of body part or function.
2. Often requires adaptation and rehabilitation.
3. May involve grieving the loss of previous abilities.
3: What is safety loss?
Correct 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.
1. Trauma and violence shatter basic sense of security.
2. Can lead to PTSD and anxiety disorders.
3. Requires rebuilding trust and safety.
4: What is loss of security and a sense of belonging?
Correct 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.
1. Social losses affect identity and connection.
2. Can lead to loneliness and isolation.
3. Support groups help restore sense of belonging.
, 5: What is loss of self-esteem?
Correct 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.
1. Loss of role or status affects self-worth.
2. May lead to depression or anxiety.
3. Therapeutic support helps rebuild self-esteem.
6: What is loss related to self-actualization?
Correct 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.
1. Loss of hopes, dreams, and future plans.
2. May occur with aging or disability.
3. Requires re-evaluation of life goals and meaning.
7: What are Kubler-Ross's five stages of grief?
Correct Answer: 1. Denial, 2. Anger, 3. Bargaining, 4. Depression, 5. Acceptance.
1. Not necessarily linear; individuals may move back and forth.
2. Stages may vary in duration and intensity.
3. Originally described for terminally ill patients; now applied to all losses.
8: Describe Kubler-Ross stage: Denial
Correct Answer: Denial is shock and disbelief regarding the loss.
1. Protective mechanism against overwhelming reality.
2. "This can't be happening to me."
3. Gradually gives way as reality sets in.
9: Describe Kubler-Ross stage: Anger
Correct Answer: Anger may be expressed toward God, relatives, friends, or health care providers.
1. "Why me?" "Who is to blame?"
2. May be directed at any target.
3. Normal response requiring nonjudgmental acceptance.
