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Grief: Helping Parents with Grieving Children
Supervision continuing education social worker CEUs

Psychologist Post-Test
Psychologist CEs, Counselor CEUs, Social Worker CEUs, MFT CEUs

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Questions:

1. What are four ways parents can introduce a child to an expected death?
2. What are the three key concepts of death?
3. What are the three phases of adolescence?
4. What are 6 common features of filicide?
5. What are the four methods for reestablishing security?
6. What are the second and third of the five challenges of a grieving child?
7. What are the fourth and fifth challenges of a grieving child?
8. What are the six risk factors of complicated mourning?

Answers:

A. The second and third of the five challenges of a grieving child are understanding death and mourning death.
B. The six risk factors of complicated mourning are traumatic deaths, the caretaker is not functioning well, the child had a love-hate relationship with the deceased, the child experienced multiple losses, the deceased had an extensive illness, and the child has other mental health issues.
C. The four methods for reestablishing security are actively manage the level of change in the child’s life, actively increase the level of predictability in the child’s life, deal with any of the child’s health concerns, and increase the child’s feelings of control. 
D. The three phases of adolescence are early adolescence, middle adolescence, and late adolescence.
E. The 6 common features of filicide are first children, aged less than 7 months, suffering from seizures or apnea, recent hospital discharge, time of death, and mothers who smoke.
F. The fourth and fifth challenges of a grieving child are staying connected and resuming childhood. 
G. The three key concepts of death are "nonfunctionality" of the body, death is final and death is universal.  
H.  Four ways parents can introduce a child to an expected death are taking a death history, using correct language, reading about death with the child, and looking for death educationopportunities. 

Questions:

9. According to Busch and Kimble, which of the three concepts of death do children have the most difficulty understanding? 
10. According to Goldman, why is it important to avoid using clichés associated with grieving when speaking to a child about death?  
11. What adult in a child’s life is often most aware of the child’s pain? 
12. Under what circumstances might a parent consider seeking a professional for their grieving child? 
13. At approximately 7 to 11 years of age, what will cause a grieving child to need continual validation of his or her own thoughts? 
14. What five core issues must be addressed for a mental health professional to organize an adolescent’s adjustment to loss? 
15. Why does the loss of a maternal relationship cause daughters to experience greater levels of grief than sons? 
16. According to Riches & Dawson, what are some benefits derived from the daughter carrying out tasks previously undertaken by the deceased mother?
17. What is disenfranchised grief?
18. What three factors construct a personal stamp or certain point of view on understanding death for adolescents? 

 Answers:

A.  A teacher
B.  The five core issues that must be addressed: emotionally separating from parents, developing a sense of mastery and control, establishing a sense of belonging, developing a positive self-image, and creating a sense of fairness and justice.
C.  She avoids facing ambivalent feelings towards the deceased mother, avoids facing memories of recent disagreements or anxieties of life without her, and structures her thoughts through concrete activities. A kind of symbiosis might be achieved whereby for a short time at least, both primary and secondary losses are compensated for by father and daughter concentrating on `restoring' their lives through keeping the family functioning. 
D.  Grief is normal, but if emotional or behavioral problems seem extreme, if they persist beyond six months, or if they interfere with any aspect of functioning, consider contacting a professional.
E.  (a) engaging in both life affirmation and death acknowledgment, (b) questioning and assuming different belief systems regarding death and the afterlife prior to settling onto a more permanent value system, and (c) incorporating the very reality of personal mortality into their evolving sense of identity.
F.  A child's egocentrism will cause continued need to validate his or her own thoughts. The impact of this thinking upon how a child of this age views death is an awareness of the finality of death and the fear of how the death personally affects her own life.
G.  Daughters experience greater levels of grief due to the central importance of relationships to a woman’s identity.
H. Children have difficulty understanding the third concept of non-functionality.
I. Children can misinterpret language at different developmental stages. The young child can misunderstand clichés associated with grieving, and these clichés can actually block the grieving process.
J.  Disenfranchised grief is used to refer to losses that cannot be openly acknowledged, socially sanctioned, or publicly mourned.


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