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NSG 221 Mental Health 2 – Complete Study Guide on Grief, Anger, Substance Abuse, and Anxiety Disorders

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This document is a comprehensive NSG 221 Mental Health 2 study guide covering grief and loss (Kubler-Ross and Engel models), types of loss, and cognitive, emotional, behavioral, spiritual, and physiological grief responses. It includes anger and aggression phases, disruptive behavior disorders, workplace bullying standards, substance abuse definitions, withdrawal symptoms, detoxification protocols, related nursing interventions, and CIWA-AR scoring. The guide also details anxiety disorders, levels of anxiety, assessment tools, pharmacologic treatments, and therapeutic approaches.

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Institution
NSG 221
Course
NSG 221

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1. is the outward expression of grief.: mourning
2. Give some examples of mourning rituals.: having a wake, sitting shiva, holding
religious ceremonies, funerals
3. Which culture does not permit cremation?: Islam


(It is important to follow the five steps of the burial procedure, which specify washing,
dressing, and positioning of the body)
4. Physiological responses of grief can include insomnia, headaches, im-
paired appetite, weight loss, lack of energy, palpitations, indigestion, and
changes in the immune and endocrine systems.
True/False: True
5. What are the Kubler-Ross stages of grief?: -Denial
-Anger
-Bargaining
-Depression
-Acceptance
(DABDA)
6. Identify the following responses to grief as cognitive, behavioral, spiritual,
physiological or emotional:


1) Hopelessness
2) Trying to make sense of the loss
3) Tearful sobbing, uncontrollable crying
4) Nausea
5) Guilt over things left unsaid: 1) Spiritual
2) Cognitive
1/9

3) Behavioral
4) Physiological

,tance by months after the loss.: 6
9. Amputation of a limb, a mastectomy or hysterectomy, or loss of mobility are
examples of loss.: physiologic
10. What are Engel's 5 stages of loss?: 1. Shock & disbelief
2. Developing Awareness
3. Restitution




2/9

, 4. Resolution of loss
5. Recovery
11. What type of loss does this describe?:


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 they lose hope that they will ever find a partner and have
children.: loss related to self-actualization
12. Give some examples of a safety loss.: domestic violence, child abuse, etc.
13. What type of loss does this describe?:


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 security & sense of belonging
14. What type of loss does this describe?:


Any change (actual or perceived) to a person's perception of their value: loss
of self-esteem


(ex: loss of job, broken relationship, retirement, etc)
15. responses to grief are often the easiest to observe.: Behavioral
(ex: sobbing, showing restlessness, etc.)
16. Anger results when a person is frustrated, hurt, or afraid.
True/False: True
17. What is a perceived loss?: loss that is experienced and felt by an individual,
3/9
but it is not necessarily recognized by others
18. is emotion expressed through verbal abuse, lack of coopera-
tion, violation of rules or norms, or threatening behavior.: hostility

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NSG 221
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NSG 221

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