NSG221 MENTAL HEALTH NURSING - EXAM TWO QUESTIONS
AND ANSWERS WITH COMPLETE SOLUTIONS VERIFIED BY
EXPERTS
Mourning Rituals
Examples include having a wake, sitting shiva, holding religious ceremonies, and arranging funerals.
Physiologic Loss
Examples include amputation of a limb, a mastectomy or hysterectomy, or loss of mobility.
Safety Loss
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
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
,Any change in how a person is valued at work or in relationships or by him or herself can threaten this
type of loss. 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 this type of loss.
Loss Related to Self-Actualization
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
1. Denial
2. Anger
3. Bargaining
4. Depression
5. Acceptance
Kubler-Ross 5 Stages of Grief: Denial
Shock and disbelief regarding the loss.
Kubler-Ross 5 Stages of Grief: Anger
May be expressed toward God, relatives, friends, or health care providers.
Kubler-Ross 5 Stages of Grief: Bargaining
, Occurs when the person asks God or fate for more time to delay the inevitable loss.
Kubler-Ross 5 Stages of Grief: Depression
Results when awareness of the loss becomes acute.
Kubler-Ross 5 Stages of Grief: Acceptance
Occurs when the person shows evidence of coming to terms with death.
Engel's 5 Stages of Loss
1. Shock and Disbelief
2. Developing Awareness
3. Restitution
4. Resolution of Loss
5. Recovery
Engel Stages of Loss: Shock & Belief
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
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
Participation in the rituals associated with death, such as a funeral, wake, family gathering, or religious
ceremonies that help the individual accept the reality of the loss and begin the recovery process.
AND ANSWERS WITH COMPLETE SOLUTIONS VERIFIED BY
EXPERTS
Mourning Rituals
Examples include having a wake, sitting shiva, holding religious ceremonies, and arranging funerals.
Physiologic Loss
Examples include amputation of a limb, a mastectomy or hysterectomy, or loss of mobility.
Safety Loss
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
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
,Any change in how a person is valued at work or in relationships or by him or herself can threaten this
type of loss. 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 this type of loss.
Loss Related to Self-Actualization
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
1. Denial
2. Anger
3. Bargaining
4. Depression
5. Acceptance
Kubler-Ross 5 Stages of Grief: Denial
Shock and disbelief regarding the loss.
Kubler-Ross 5 Stages of Grief: Anger
May be expressed toward God, relatives, friends, or health care providers.
Kubler-Ross 5 Stages of Grief: Bargaining
, Occurs when the person asks God or fate for more time to delay the inevitable loss.
Kubler-Ross 5 Stages of Grief: Depression
Results when awareness of the loss becomes acute.
Kubler-Ross 5 Stages of Grief: Acceptance
Occurs when the person shows evidence of coming to terms with death.
Engel's 5 Stages of Loss
1. Shock and Disbelief
2. Developing Awareness
3. Restitution
4. Resolution of Loss
5. Recovery
Engel Stages of Loss: Shock & Belief
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
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
Participation in the rituals associated with death, such as a funeral, wake, family gathering, or religious
ceremonies that help the individual accept the reality of the loss and begin the recovery process.
