,NSG 221 Exam 2 | Mental Health Nursing (2026)
Q&A | Herzing University
1. What is the term for the outward expression of grief, often including rituals
such as wakes, religious ceremonies, and funerals?
A) Bereavement
B) Mourning
C) Anticipatory grief
D) Complicated grief
Correct Answer: Mourning
Rationale: Mourning is the outward, social expression of grief, encompassing
culturally prescribed rituals and behaviors such as wakes, sitting shiva, and
funeral arrangements. Bereavement refers to the state of having experienced a
loss, and complicated grief describes a prolonged or distorted grief response.
2. Which type of loss involves the actual, tangible absence of a body part or
function, such as amputation or loss of mobility?
A) Physiologic loss
B) Safety loss
C) Loss of self-esteem
D) Loss related to self-actualization
Correct Answer: Physiologic loss
,Rationale: Physiologic loss refers to the concrete, observable absence of body
parts or function, including amputation, mastectomy, hysterectomy, or loss of
mobility. Safety loss involves the loss of a safe environment, and loss of self-
esteem involves a threat to how a person is valued.
3. A client who has experienced domestic violence is most likely experiencing
which category of loss?
A) Physiologic loss
B) Safety loss
C) Loss of security and sense of belonging
D) Loss of self-esteem
Correct Answer: Safety loss
Rationale: Loss of a safe environment is evident in domestic violence, child
abuse, or public violence, shattering the person's sense of safety and trust.
Physiologic loss involves body parts or function, and loss of security and belonging
involves relationship changes.
4. According to Kubler-Ross, which stage of grief is characterized by shock and
disbelief regarding the loss?
A) Anger
B) Bargaining
C) Denial
D) Depression
Correct Answer: Denial
, Rationale: The Kubler-Ross stages begin with denial, which involves shock and
disbelief regarding the loss. Anger may be directed toward God or others,
bargaining involves negotiating for more time, and depression occurs when
awareness of the loss deepens.
5. In which Kubler-Ross stage of grief might a client express anger toward God,
relatives, friends, or health care providers?
A) Denial
B) Anger
C) Bargaining
D) Acceptance
Correct Answer: Anger
Rationale: During the anger stage, the client may direct anger toward God,
relatives, friends, or health care providers as a way of coping with the reality of
the loss. Denial involves disbelief, bargaining involves negotiation, and acceptance
involves coming to terms with the loss.
6. Which stage of Kubler-Ross grief theory involves asking God or fate for more
time to delay the inevitable loss?
A) Denial
B) Anger
C) Bargaining
D) Depression
Correct Answer: Bargaining
Q&A | Herzing University
1. What is the term for the outward expression of grief, often including rituals
such as wakes, religious ceremonies, and funerals?
A) Bereavement
B) Mourning
C) Anticipatory grief
D) Complicated grief
Correct Answer: Mourning
Rationale: Mourning is the outward, social expression of grief, encompassing
culturally prescribed rituals and behaviors such as wakes, sitting shiva, and
funeral arrangements. Bereavement refers to the state of having experienced a
loss, and complicated grief describes a prolonged or distorted grief response.
2. Which type of loss involves the actual, tangible absence of a body part or
function, such as amputation or loss of mobility?
A) Physiologic loss
B) Safety loss
C) Loss of self-esteem
D) Loss related to self-actualization
Correct Answer: Physiologic loss
,Rationale: Physiologic loss refers to the concrete, observable absence of body
parts or function, including amputation, mastectomy, hysterectomy, or loss of
mobility. Safety loss involves the loss of a safe environment, and loss of self-
esteem involves a threat to how a person is valued.
3. A client who has experienced domestic violence is most likely experiencing
which category of loss?
A) Physiologic loss
B) Safety loss
C) Loss of security and sense of belonging
D) Loss of self-esteem
Correct Answer: Safety loss
Rationale: Loss of a safe environment is evident in domestic violence, child
abuse, or public violence, shattering the person's sense of safety and trust.
Physiologic loss involves body parts or function, and loss of security and belonging
involves relationship changes.
4. According to Kubler-Ross, which stage of grief is characterized by shock and
disbelief regarding the loss?
A) Anger
B) Bargaining
C) Denial
D) Depression
Correct Answer: Denial
, Rationale: The Kubler-Ross stages begin with denial, which involves shock and
disbelief regarding the loss. Anger may be directed toward God or others,
bargaining involves negotiating for more time, and depression occurs when
awareness of the loss deepens.
5. In which Kubler-Ross stage of grief might a client express anger toward God,
relatives, friends, or health care providers?
A) Denial
B) Anger
C) Bargaining
D) Acceptance
Correct Answer: Anger
Rationale: During the anger stage, the client may direct anger toward God,
relatives, friends, or health care providers as a way of coping with the reality of
the loss. Denial involves disbelief, bargaining involves negotiation, and acceptance
involves coming to terms with the loss.
6. Which stage of Kubler-Ross grief theory involves asking God or fate for more
time to delay the inevitable loss?
A) Denial
B) Anger
C) Bargaining
D) Depression
Correct Answer: Bargaining
