CNO Competencies & Ways of Knowing
Model: Kubler-Ross Grief Cycle
Understanding Grief
The Nursing Role and
Education
100

Nurses draw upon their own experiences of loss, empathy, and resilience to connect and support families in their grief journey.

what is personal knowing 

100

What are the 5 stages of grief in Kubler-Ross’ grief cycle?

denial, anger, depression, bargaining, and acceptance


100

a person's personal response to loss.

What is grief?


100

What are the four petals in the Flower (Em)power to help support family through expected and unexpected life events?

1) Assess family need; 2) sustain a caring environment; 3) identify resources and support; 4) educate and provide information

200

______ knowing encourages nurses to recognize that the grieving process is a multifaceted, unique, and personal experience. Understanding the grieving process differs from person to person. 

what is aesthetic knowing 

200

The stage of grief in which individuals commonly blame others around them (i.e., family, friends, healthcare team)

what is anger

200

grief experienced before a loss. 

what is anticipatory grief

200

simply encouraging ______ may be a helpful in maintaining therapeutic communication with individuals/families experiencing grief. 

silence

300

Nurse John determines his own professional and interprofessional role within the team by considering the roles, responsibilities, and the scope of practice of others. Which CNO competency is Nurse John demonstrating? 

Collaborator 

300

Name 5 common signs/issues that may be observed from someone in the depression stage of grief. 

e.g., fatigue, sleep disturbances, anhedonia, loss of appetite, social isolation, helplessness, lack of motivation

300

What is a factor that may increase the risk for prolonged grief?

traumatic circumstances; vulnerable people

300

The RNAO Practice Recommendation that involves examining a family's structure, strengths, and current supports. 

what is Assessing Need

400

Nurse John draws on what he has learned from the Kubler-Ross Grief Cycle and his knowledge of the physiological/psychological responses to grief and applies it to his care. Which way of knowing is Nurse John utilizing?  

empirical knowing 

400

The stage of Kubler-Ross’ grief cycle where guilt is commonly presented in. 

what is bargaining

400

a type of complicated grief where the individual is unaware of behaviours disrupting normal functioning due to a loss. 

what is masked grief

400

Creating opportunities for families to become more competent and independent, and strengthening families by building on their strengths are examples of _____ ______ care. 

family-centered 

500

this CNO entry-to-practice competency indicates nurses use the best evidence to make informed decisions, engage in self-reflection, and create a culturally safe environment. 

what is scholar 

500

What is the purpose of the initial denial stage of grief?

Denial is a common defense mechanism that helps the grieving individual cope with significant life changes that may be overwhelming at first (helps minimize overwhelming pain and loss)

500

Identify 2 pathophysiological responses that may result from intense grief. 

e.g., myocardial infarction; increase in stress hormones, catecholamine release, increased SNS stimulation; increased BP/HR, arrythmmias, increase platelet activity and aggregation, release of proinflammatory cytokines, increased release of endothelin, production of fibrinogen

500

this partnership involves respect, trust, open communication, listening, and mutual informing throughout care. 

what is The Nurse-Family Partnership