NSG 221 Mental Health Exam 2026
Questions and Answers
Mourning Rituals - Correct answer-Mourning is the outward expression of grief.
Rituals of mourning include having a wake, sitting shiva, holding religious
ceremonies, and arranging funerals.
Physiologic Loss - Correct answer-Examples include amputation of a limb, a
mastectomy or hysterectomy, or loss of mobility.
Safety Loss - Correct answer-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 - Correct answer-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
©COPYRIGHT 2025, ALL RIGHTS RESERVE 1
,meaning of a relationship changes, a person may lose roles within a family or
group.
Loss of Self-Esteem - Correct answer-Any change in how a person is valued at
work or in relationships or by him or herself can threaten self-esteem. 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 self-esteem.
Loss Related to Self-Actualization - Correct answer-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 - Correct answer-1. Denial
2. Anger
3. Bargaining
4. Depression
5. Acceptance
©COPYRIGHT 2025, ALL RIGHTS RESERVE 2
, Kubler-Ross 5 Stages of Grief: Denial - Correct answer-1. Denial is shock and
disbelief regarding the loss.
Kubler-Ross 5 Stages of Grief: Anger - Correct answer-2. Anger may be expressed
toward God, relatives, friends, or health care providers.
Kubler-Ross 5 Stages of Grief: Bargaining - Correct answer-3. Bargaining occurs
when the person asks God or fate for more time to delay the inevitable loss.
Kubler-Ross 5 Stages of Grief: Depression - Correct answer-4. Depression results
when awareness of the loss becomes acute.
Kubler-Ross 5 Stages of Grief: Acceptance - Correct answer-5. Acceptance occurs
when the person shows evidence of coming to terms with death.
This model became a prototype for care providers as they looked for ways to
understand and assist their clients in the grieving process.
Engel Name of 5 Stages of Loss - Correct answer-1. Shock and Disbelief
2. Developing Awareness
3. Restitution
4. Resolution of Loss
5. Recovery
©COPYRIGHT 2025, ALL RIGHTS RESERVE 3
Questions and Answers
Mourning Rituals - Correct answer-Mourning is the outward expression of grief.
Rituals of mourning include having a wake, sitting shiva, holding religious
ceremonies, and arranging funerals.
Physiologic Loss - Correct answer-Examples include amputation of a limb, a
mastectomy or hysterectomy, or loss of mobility.
Safety Loss - Correct answer-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 - Correct answer-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
©COPYRIGHT 2025, ALL RIGHTS RESERVE 1
,meaning of a relationship changes, a person may lose roles within a family or
group.
Loss of Self-Esteem - Correct answer-Any change in how a person is valued at
work or in relationships or by him or herself can threaten self-esteem. 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 self-esteem.
Loss Related to Self-Actualization - Correct answer-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 - Correct answer-1. Denial
2. Anger
3. Bargaining
4. Depression
5. Acceptance
©COPYRIGHT 2025, ALL RIGHTS RESERVE 2
, Kubler-Ross 5 Stages of Grief: Denial - Correct answer-1. Denial is shock and
disbelief regarding the loss.
Kubler-Ross 5 Stages of Grief: Anger - Correct answer-2. Anger may be expressed
toward God, relatives, friends, or health care providers.
Kubler-Ross 5 Stages of Grief: Bargaining - Correct answer-3. Bargaining occurs
when the person asks God or fate for more time to delay the inevitable loss.
Kubler-Ross 5 Stages of Grief: Depression - Correct answer-4. Depression results
when awareness of the loss becomes acute.
Kubler-Ross 5 Stages of Grief: Acceptance - Correct answer-5. Acceptance occurs
when the person shows evidence of coming to terms with death.
This model became a prototype for care providers as they looked for ways to
understand and assist their clients in the grieving process.
Engel Name of 5 Stages of Loss - Correct answer-1. Shock and Disbelief
2. Developing Awareness
3. Restitution
4. Resolution of Loss
5. Recovery
©COPYRIGHT 2025, ALL RIGHTS RESERVE 3
