NUR 162 Chapter 2 - killed. Anna's daughter reports that since that...

NUR 162 Chapter 2

• Three years ago, Anna's dog Lucky, whom she had had for 16 years, was run over by a car and

killed. Anna's daughter reports that since that time, Anna has lost weight, rarely leaves her home, and just sits and talks about Lucky. Anna's behavior would be considered maladaptive for which of the following reasons?

• It has been more than 3 years since Lucky died.
• Her grief is too intense over just the loss of a dog.
• Her grief is interfering with her functioning.
• Cultural norms typically don't comprehend grief over the loss of a pet.

Answer Her grief is interfering with her functioning

• Anna states that Lucky was her closest friend, and since his death, there is no one who could

ever replace the relationship they had. According to Maslow's hierarchy of needs, which level of need is not being met?

• Physiological needs
• Self-esteem needs
• Safety and security needs
• Love and belonging needs

Answer Love and belonging needs

• Anna's daughter notices that Anna appears to be listening to another voice when just the two

of them are in a room together. When questioned, Anna admits that she hears someone telling her that she was a horrible caretaker for Lucky and did not deserve to ever have a pet. Which of the following best describes what Anna is experiencing?

• Neurosis
• Psychosis
• Depression
• Bereavement

Answer Psychosis 1 / 2

• Anna, who is 72 years old, is of an age when she may have experienced many losses coming

close together. She is at risk for which of the following?

• Bereavement overload
• Normal mourning
• Isolation
• Cultural relativity

Answer Bereavement overload

• Anna, age 72, has been grieving the death of her dog, Lucky, for 3 years. She is not able to take

care of her activities of daily living and wants only to make daily visits to Lucky's grave. What is the most likely reason her daughter has put off seeking help for Anna?

• Women are less likely than men to seek help for emotional problems.
• Relatives often try to "normalize" the behavior rather than label it mental illness.
• She knows that all older people are expected to be a little depressed.
• She is afraid that the neighbors "will think her mother is crazy."

Answer Relatives often try to "normalize" the behavior rather than label it mental illness.

• Anna's dog Lucky got away from her while they were taking a walk. He ran into the street

and was hit by a car. Anna cannot remember any of these circumstances of his death. This is an example of what defense mechanism?

• Rationalization
• Suppression
• Denial
• Repression

Answer Repression

• Lucky sometimes refused to obey Anna and indeed did not come back to her when she called to

him on the day he was killed. But Anna continues to insist, "He was the very best dog. He always minded me. He always did everything I told him to do." Which of the following is the correct term for this defense mechanism?

• Sublimation
• / 2