Deck 12: Roles and Relationships

Question 1

What behavior would indicate that the bereaved widow has entered the searching and yearning stage of grief?

A) Renewed interest in social activities
B) Signs of depression
C) Making plans for the future
D) Denial of the loss of her husband

Answer 1

Signs of depression

Question 2

How does the nurse define a role?

A) Positive standard of behavior
B) Accepted behavior standard
C) Sexually linked standard
D) Unchangeable standard

Answer 2

Accepted behavior standard

Question 3

The recently widowed 65-year-old man has told the nurse that he is so lost without his wife that he is planning to retire, sell his home, and move to a retirement village in another state. What assessment by the nurse would be the most correct?

A) Positive, because it represents a new beginning
B) Positive, because it allows him more time to resolve his grief
C) Risky, because he is giving up significant supports to his self-image and grief resolution process
D) Negative, because he has not thought his plan through

Answer 3

Risky, because he is giving up significant supports to his self-image and grief resolution process

Question 4

A 59-year-old construction worker living with his divorced son and 9-year-old grandson was admitted to the hospital 3 days ago with a massive heart attack. His son is out of town on a business trip and has been unable to visit him. His grandson had to go stay with a friend. The social worker tells the nurse that the son stated he will not be able to care for his father when he gets out of the hospital and does not know how he will afford the skilled nursing facility. What is the most appropriate nursing diagnosis?

A) Impaired social interaction
B) Dysfunctional grieving
C) Social isolation
D) Interrupted family process

Question 5

What is the status of any role based upon?

A) Age
B) Responsibility
C) Society
D) Health

Question 6

What would be indicative of dysfunctional grieving in an 80-year-old man?

A) Despair after 3 months
B) Guilt and self-doubt after 4 months
C) A sense of disorganization after 6 months
D) A sense of depression and despair after 1 year

Question 7

Which stage of grief usually resolves after approximately 2 weeks to 4 months?

A) Disorientation
B) Shock and numbness
C) Reorganization
D) Searching and yearning

Question 8

Which of the following would be most likely to experience a problem with role conflict?

A) 65-year-old grandmother who cares for her grandchildren while the mother works.
B) 70-year-old retired business owner who comes to help his son run the business.
C) 75-year-old retired physician who volunteers at a medical screening clinic.
D) 80-year-old retired school administrator who takes educational foreign cruises several times a year.

Question 9

When the home health nurse suggests a grief resolution group to the older widow, the widow furiously states, "I don't want or need any help! I want my husband back!" What stage of grief would this be characteristic of?

A) Shock
B) Searching
C) Disorientation
D) Reorganization

Question 10

What is a typical response for friends when dealing with a grieving person?

A) Avoid discussing the source of grief.
B) Encourage discussion of the source of grief.
C) Schedule an intervention.
D) Try to resolve the grief.

Question 11

Which of the following accurately reflects a homogenous society?

A) Members share a common cultural history
B) Members are diverse in role expectation
C) Members have conflicted role status
D) Members may choose or change role performance

Question 12

The nurse assesses that although the college professor has retired, he still perceives himself as an educator and retains his academic title and professional association membership. How could the change in employment status be reflected in the professor?

A) Altered self-image
B) Neglect of his family
C) Identity crisis
D) Habitual professional behavior

Question 13

Which stage of grief usually resolves after approximately 4-7 months?

A) Disorientation
B) Shock and numbness
C) Reorganization
D) Searching and yearning

Question 14

What would be the best method for the nurse to help a grieving widow begin the grief resolution process?

A) Distract her with social conversation.
B) Encourage her to verbalize her grief.
C) Point out behaviors that are not helpful to grief resolution.
D) Focus on her loneliness and loss.

Question 15

A nurse is counseling an older man who retires from his work and changes his role status. What will likely result in the man having fewer adjustment problems?

A) He is financially secure.
B) He has other roles and relationships.
C) He is healthy.
D) He has a supportive family.

Question 16

How can a nurse most effectively promote social contact and interaction in the long-term care facility?

A) Make a telephone available for family contact.
B) Post a list of activities on the bulletin board.
C) Tell the patient about social rooms in the facility.
D) Accompany the patient to a craft activity.

Question 17

What is the correct term for a society in which members of many diverse subcultures must interact?

A) Homogeneous
B) Heterogeneous
C) Impersonal
D) Superficial

Question 18

Which stage of grief may last up to 2 years?

A) Disorientation
B) Shock and numbness
C) Reorganization
D) Searching and yearning

Question 19

A man has roles of father, husband, professional businessman, son, and community leader. What may he be at risk of experiencing?

A) Role confusion
B) Isolation
C) Internal role conflict
D) Diminished self-esteem

Question 20

Which stage of grief usually resolves after approximately 2 weeks?

A) Disorientation
B) Shock and numbness
C) Reorganization
D) Searching and yearning

Question 21

The nurse uses a diagram to depict __________, which is a term for interaction between different roles.

Question 22

The nurse is aware that an older adult may become socially isolated related to the loss of __________. (Select all that apply.)

A) a spouse
B) friends to death or relocation
C) health
D) home
E) culture

Question 23

What is grief a normal response to? (Select all that apply.)

A) Loss of loved ones
B) Loss of professional roles
C) Loss of dependence
D) Loss of health
E) Loss of relationships

Question 24

What would be appropriate sources of support for the grieving patient? (Select all that apply.)

A) Friends
B) Family
C) Self-help magazines
D) Support groups
E) Therapist

Question 25

A society that has numerous subcultures with different or conflicting expectations is said to be a(n) __________ society.

Question 26

Which of the following are expected standards within various roles in a culture? (Select all that apply.)

A) Housing
B) Clothing
C) Choice of vehicle
D) Family size
E) Support system

Question 27

What measures would be appropriate for the nurse to use to assess dysfunctional grieving in the older adult? (Select all that apply.)

A) Ask the patient to describe his or her relationship within the family.
B) Observe the behavior of the patient when family members and friends come to visit.
C) Ask questions about the patient's profession and work history.
D) Observe for changes in eating habits.
E) Monitor for changes in mental status.