Question 1

A nurse caring for a family during a loss might notice that a family member is experiencing survivor guilt.Which family member is most likely to exhibit this guilt?&#10;A) Siblings&#10;B) Mother&#10;C) Father&#10;D) Grandparents

Accepted Answer

Grandparents

Question 2

Which statement most accurately describes complicated grief?&#10;A) Occurs when,in multiple births,one child dies and the other or others live&#10;B) Is a state during which the parents are ambivalent,as with an abortion&#10;C) Is an extremely intense grief reaction that persists for a long time&#10;D) Is felt by the family of adolescent mothers who lose their babies

Accepted Answer

Complicated grief is an intense and prolonged form of grief that can last for months or even years. It is characterized by persistent feelings of sadness, guilt, anger, or hopelessness that interfere with daily life. Complicated grief may occur after the death of a loved one, and it is often associated with a difficult or traumatic death, a lack of social support, or other risk factors.

Question 3

Which options for saying &#34;good-bye&#34; would the nurse want to discuss with a woman who is diagnosed with having a stillborn girl?&#10;A) The nurse should not discuss any options at this time;plenty of time will be available after the baby is born.&#10;B) &#34;Would you like a picture taken of your baby after birth?&#34;&#10;C) &#34;When your baby is born,would you like to see and hold her?&#34;&#10;D) &#34;What funeral home do you want notified after the baby is born?&#34;

Accepted Answer

&#34;When your baby is born,would you like to see and hold her?&#34;

Question 4

During a follow-up home visit,the nurse plans to evaluate whether parents have progressed to the second stage of grieving (phase of intense grief).Which behavior would the nurse not anticipate finding?

A) Guilt,particularly in the mother
B) Numbness or lack of response
C) Bitterness or irritability
D) Fear and anxiety,especially about getting pregnant again

Accepted Answer

The second stage of grieving is characterized by intense grief. Numbness or lack of response is more typical of the first stage of grieving, which is shock and disbelief. Guilt, bitterness, irritability, fear, and anxiety are all common during the phase of intense grief.

Question 5

A newborn in the neonatal intensive care unit (NICU)is dying of a massive infection.The parents speak to the neonatologist,who informs them of their son's prognosis.When the father sees his son,he says,"He looks just fine to me.I can't understand what all this is about." What is the most appropriate response or reaction by the nurse at this time?

A) "Didn't the physician tell you about your son's problems?"
B) "This must be a difficult time for you.Tell me how you're doing."
C) Quietly stand beside the infant's father.
D) "You'll have to face up to the fact that he is going to die sooner or later."

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Accepted Answer

It is important for the nurse to acknowledge the father's statement and provide emotional support. The father may be in denial and the nurse should approach the situation with empathy and understanding. Option A is not appropriate as it may come across as confrontational. Option C does not provide any communication or support. Option D is not appropriate as it lacks empathy and is too blunt.

Question 6

A family is visiting two surviving triplets.The third triplet died 2 days ago.What action indicates that the family has begun to grieve for the dead infant?&#10;A) Refers to the two live infants as twins&#10;B) Asks about the dead triplet's current status&#10;C) Brings in play clothes for all three infants&#10;D) Refers to the dead infant in the past tense

Accepted Answer

Referring to the dead infant in the past tense indicates that the family is starting to come to terms with the loss and is beginning to grieve.

Question 7

Parents are often asked if they would like to have an autopsy performed on their infant.Nurses who are assisting parents with this decision should be aware of which information?&#10;A) Autopsies are usually covered by insurance.&#10;B) Autopsies must be performed within a few hours after the infant's death.&#10;C) In the current litigious society,more autopsies are performed than in the past.&#10;D) Some religions prohibit autopsy.

Accepted Answer

Some religions, such as Judaism and Islam, prohibit autopsies. It is important for nurses to be aware of the cultural and religious beliefs of the parents when discussing the option of an autopsy.

Question 8

Parents have asked the nurse about organ donation after that infant's death.Which information regarding organ donation is important for the nurse to understand?&#10;A) Federal law requires the medical staff to ask the parents about organ donation and then to contact their state's organ procurement organization (OPO)to handle the procedure if the parents agree.&#10;B) Organ donation can aid grieving by giving the family an opportunity to see something positive about the experience.&#10;C) Most common donation is the infant's kidneys.&#10;D) Corneas can be donated if the infant was either stillborn or alive as long as the pregnancy went full term.

Accepted Answer

The answer of Parents have asked the nurse about organ...

Question 9

A client gives birth to a stillborn infant.At first,she appears stunned by the news,cries a little,and then asks the nurse to call her mother.What is the proper term for the phase of bereavement that this client is experiencing?

A) Anticipatory grief
B) Acute distress
C) Intense grief
D) Reorganization

Accepted Answer

The client is experiencing acute distress, which is the initial phase of bereavement where the individual may feel shock, disbelief, and emotional numbness. This is a common reaction to unexpected loss, such as stillbirth. The other options are not applicable in this scenario. Anticipatory grief is seen in situations where the individual is aware of the impending loss, intense grief is a later stage where there is an overwhelming sense of loss and sadness, and reorganization is when the individual is able to adjust to the loss and move forward with life.

Question 10

During the initial acute distress phase of grieving,parents still must make unexpected and unwanted decisions about funeral arrangements and even naming the baby.What is the nurse's role at this time?&#10;A) To take over as much as possible to relieve the pressure&#10;B) To encourage the grandparents to take over&#10;C) To ensure that the parents,themselves,approve the final decisions&#10;D) To leave them alone to work things out

Accepted Answer

It is important for the nurse to ensure that the parents themselves are making the final decisions, as these decisions can have a significant impact on their grief process and long-term healing. However, the nurse can assist in facilitating these decisions by providing information, resources, and emotional support. The nurse should not take over completely, as this can undermine the parents' sense of control and agency during a difficult time. Encouraging the grandparents to take over may also not be helpful, as the parents should be able to make decisions for their own child. Leaving the parents alone may also not be appropriate, as they may need guidance and support during this time.

Question 11

After giving birth to a stillborn infant,the woman turns to the nurse and says,"I just finished painting the baby's room.Do you think that caused my baby to die?" What is the nurse's most appropriate response?

A) "That's an old wives' tale;lots of women are around paint during pregnancy,and this doesn't happen to them."
B) "That's not likely.Paint is associated with elevated pediatric lead levels."
C) Silence.
D) "I can understand your need to find an answer to what caused this.What else are you thinking about?"

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Accepted Answer

The answer of After giving birth to a stillborn infant,the...

Question 12

Which statement is the most appropriate for the nurse to make when caring for bereaved parents?&#10;A) &#34;This happened for the best.&#34;&#10;B) &#34;You have an angel in heaven.&#34;&#10;C) &#34;I know how you feel.&#34;&#10;D) &#34;What can I do for you?&#34;

Accepted Answer

The answer of Which statement is the most appropriate for...

Question 13

Which finding would indicate to the nurse that the grieving parents have progressed to the reorganization phase of grieving?&#10;A) The parents say that they &#34;feel no pain.&#34;&#10;B) The parents are discussing sex and a future pregnancy&#10;C) The parents have abandoned those moments of &#34;bittersweet grief.&#34;&#10;D) The parents' questions have progressed from &#34;Why?&#34; to &#34;Why us?&#34;

Accepted Answer

The answer of Which finding would indicate to the nurse...

Deck 37: Perinatal Loss, bereavement, and Grief