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Chapter 1 Review Questions
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Three years ago, Anna's dog Lucky, whom she 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 because:
A. it has been more than 3 years since Lucky died
B. her grief is too intense just over the loss of a dog
C. her grief is interfering with her functioning
D. people in this culture would not comprehend such behavior
C. 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?
a.) Physiological needs
b.) Self-esteem needs
c.) Safety and security needs
d.) Love and belonging needs
D. 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?
a.) Neurosis
b.) Psychosis
c.) Depression
d.) Bereavement
B. Psychosis
Anna, who is 72 years old, is of the age when she may have experienced many losses coming close together. What is this called?
a. Bereavement overload
b. Normal mourning
c. Isolation
d. Cultural relativity
A. 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. Her daughter has likely put off seeking help for Anna because:
A. women are less likely to seek help for emotional problems than men are
B. relatives often try to "normalize" the behavior, rather than label it mental illness
C. she knows that all older people are expected to be a little depressed
D. she is afraid that the neighbors "will think her mother is crazy"
B. 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?
A. Rationalization
B. Suppression
C. Denial
D. repression
D. 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 did everything I told him to do" This represents the defense mechanism of:
A. sublimation
B. compensation
C. Reaction formation
D. Undoing
C. Reaction formation
Anna has been a widow for 20 years. Her maladaptive grief response to the loss of her dog may be attributed to which of the following? Select all that apply.
A. unresolved grief over the loss of her husband
B. loss of several relatives and friends over the last few years
C. repressed feelings of guilt over the way in which Lucky died
D. inability to prepare in advance for the loss
A, B, C, D
When Anna's daughter expresses concern about her mother's behavior and recommends she see a counselor, Anna declares, "I'm fine. There is nothing wrong with me!" Which of the following best describes Anna's response?
a.) Grief resolution
b.) Somatic disorder
c.) Anosognosia
d.) Intellectualization
C. Anosognosia
Which of the following statements by Anna might suggest that she is achieving resolution of her grief over Lucky's death?
A. "I never cry when I think about Lucky."
B. "It's true. Lucky didn't always mind me. Sometimes he ignored my commands, but he was also a good companion."
C. "I remember how it happened now. I should have held tighter his leash! I didn't deserve to have a dog."
D. "I won't ever have another dog. It's just too painful to lose them."
B. "It's true. Lucky didn't always mind. Sometimes he ignored my commands, but he was also a good companion."
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