N137 Perinatal Loss, Bereavement and Grief(100%
Verified)
Which are signs/symptoms of complicated grief? Select all that apply.
1
Excessive bitterness
2
Ability to trust others
3
A state of complete happiness
4
Intense and continued guilt or anger
5
Intense longing and yearning for the deceased
6
Feeling that life is empty or meaningless, hopelessness, and loneliness correct answers 1,4,5,6
The signs/symptoms of complicated grief include: excessive bitterness; inability (not ability) to
trust others; a state of chronic mourning (not complete happiness); intense and continued guilt or
anger; intense longing and yearning for the deceased; and feeling that life is empty or
meaningless, hopelessness, and loneliness.
The nurse is caring for a client who has delivered a stillborn child. Which question asked by the
nurse will best identify the client's religious needs?
1
"Would you like to talk to the hospital chaplain?"
2
"Do you believe that the loss was God's will?"
3
"Are there any religious rituals you would like to follow?"
4
"Can you describe what the baby's death means to you?" correct answers 3
Questions like, "Are there any religious rituals you would like to follow?" are direct questions
through which the nurse can determine the religious needs of the client's family. Meeting a
hospital chaplain is recommended, but it cannot be used to determine the religious needs of the
client's family. The question,"Do you believe the loss was God's will?" may help to identify the
religious beliefs of the family; however, the nurse should not ask the client's family about their
opinion on the baby's death, because it elevates the grief associated with the perinatal loss.
Test-Taking Tip: Try putting questions and answers in your own words to test your
understanding.
While interacting with the family members of a client who has given birth to a stillborn, the
client's mother tells the nurse, "Why didn't God take me instead of my grandchild?" What does
the nurse infer from this statement?
1
,The grandparent has survivor guilt.
2
The grandparent feels hopeless.
3
The grandparent is promoting family coping.
4
The grandparent is reflecting religious beliefs. correct answers 1
Grandparents often express survival guilt after learning that their grandchild is dead. They often
feel that the death is out of order, because they are still alive and their grandchild has died.
Therefore, the statement "Why did not God take me away instead of my grandchild?" indicates
the grandmother's survival guilt. The statement does not indicate that the grandparents are
hopeless about the loss, nor does it indicate that the grandparent is promoting family coping.
Though the grandparent mentioned God in the statement, it does not necessarily reflect the
religious belief of the patient's family.
Test-Taking Tip: The following are crucial requisites for doing well on the NCLEX exam: (1) A
sound understanding of the subject; (2) The ability to follow explicitly the directions given at the
beginning of the test; (3) The ability to comprehend what is read; (4) The patience to read each
question and set of options carefully before deciding how to answer the question; (5) The ability
to use the computer correctly to record answers; (6) The determination to do well; (7) A degree
of confidence.
A pregnant client asks the nurse for a second opinion after being informed about the death of the
fetus. What does the nurse infer from the client's behavior?
1
The client has professional mistrust.
2
The client is experiencing maternal denial.
3
The client is going through complicated grief.
4
The client is going through disenfranchised grief. correct answers 2
Denial is the first stage of grief when a client suffers a perinatal loss. In this stage, the client does
not believe the truth and asks the nurse for a second opinion. Denial is followed by anger and
grief. If a client asks for a second opinion about the perinatal loss, it does not mean that the client
mistrusts the professional opinion. Rather, it is indicative of the client's denial. Complicated grief
is a complex situation in which grief may not resolve over time and the bereaved client grieves
chronically. This type of grief is not associated with asking the nurse for a second opinion. A
client experiencing disfranchised grief shows symptoms of depression and remains isolated.
Test-Taking Tip: Avoid spending excessive time on any one question. Most questions can be
answered in 1 to 2 minutes.
During a follow-up phone call near the anniversary of an infant's death, the husband reports to
the nurse, "My wife has been unable to move on and resume her normal life even after a year."
What does the nurse infer from the wife's behavior?
, 1
The wife is mourning.
2
The wife is experiencing ambiguous loss.
3
The wife is experiencing complicated grief.
4
The wife is experiencing disenfranchised grief. correct answers 3
The wife is grieving for the loss of the child a year after the child's death. This indicates that the
mother's grief has not resolved with time. Therefore, the wife's grief may be considered
complicated grief. Mourning involves following the traditions and rituals; however, the wife is
not following any rituals. Therefore, the wife is not mourning. Ambiguous loss is the grief
caused by the loss of an object that is missing, such as the death of an unborn fetus. In this case,
an infant child has died. People who experience grief do not always openly express feelings of
sadness. So, the person receives limited support from the family. This type of grief is known as
disenfranchised grief, but this is not the case with the wife.
Test-Taking Tip: Pace yourself when taking practice quizzes. Because most nursing exams have
specified time limits, you should pace yourself during the practice testing period accordingly. It
is helpful to estimate the time that can be spent on each item and still complete the examination
in the allotted time. You can obtain this figure by dividing the testing time by the number of
items on the test. For example, a 1-hour (60-minute) testing period with 50 items averages 1.2
minutes per question. The NCLEX exam is not a timed test. Both the number of questions and
the time to complete the test varies according to each candidate's performance. However, if the
test taker uses the maximum of 5 hours to answer the maximum of 265 questions, each question
equals 1.3 minutes.
What constitutes defining bereavement as "complicated bereavement"?
1
Occurs when, in multiple births, one child dies and the other or others live
2
Is a state in which the parents are ambivalent, as with an abortion
3
Is an extremely intense grief reaction that persists for a long time
4
Is felt by the family of adolescent mothers who lose their babies correct answers 3
Parents showing signs of complicated grief should be referred for counseling. Multiple births in
which not all the babies survive creates a complicated parenting situation, but this is not
complicated bereavement. Abortion can generate complicated emotional responses, but those do
not constitute complicated bereavement. Families of lost adolescent pregnancies may have to
deal with complicated issues, but this is not complicated bereavement.
STUDY TIP: The old standbys of enough sleep and adequate nutritional intake also help keep
excessive stress at bay. Although nursing students learn about the body's energy needs in
anatomy and physiology classes, somehow they tend to forget that glucose is necessary for brain
Verified)
Which are signs/symptoms of complicated grief? Select all that apply.
1
Excessive bitterness
2
Ability to trust others
3
A state of complete happiness
4
Intense and continued guilt or anger
5
Intense longing and yearning for the deceased
6
Feeling that life is empty or meaningless, hopelessness, and loneliness correct answers 1,4,5,6
The signs/symptoms of complicated grief include: excessive bitterness; inability (not ability) to
trust others; a state of chronic mourning (not complete happiness); intense and continued guilt or
anger; intense longing and yearning for the deceased; and feeling that life is empty or
meaningless, hopelessness, and loneliness.
The nurse is caring for a client who has delivered a stillborn child. Which question asked by the
nurse will best identify the client's religious needs?
1
"Would you like to talk to the hospital chaplain?"
2
"Do you believe that the loss was God's will?"
3
"Are there any religious rituals you would like to follow?"
4
"Can you describe what the baby's death means to you?" correct answers 3
Questions like, "Are there any religious rituals you would like to follow?" are direct questions
through which the nurse can determine the religious needs of the client's family. Meeting a
hospital chaplain is recommended, but it cannot be used to determine the religious needs of the
client's family. The question,"Do you believe the loss was God's will?" may help to identify the
religious beliefs of the family; however, the nurse should not ask the client's family about their
opinion on the baby's death, because it elevates the grief associated with the perinatal loss.
Test-Taking Tip: Try putting questions and answers in your own words to test your
understanding.
While interacting with the family members of a client who has given birth to a stillborn, the
client's mother tells the nurse, "Why didn't God take me instead of my grandchild?" What does
the nurse infer from this statement?
1
,The grandparent has survivor guilt.
2
The grandparent feels hopeless.
3
The grandparent is promoting family coping.
4
The grandparent is reflecting religious beliefs. correct answers 1
Grandparents often express survival guilt after learning that their grandchild is dead. They often
feel that the death is out of order, because they are still alive and their grandchild has died.
Therefore, the statement "Why did not God take me away instead of my grandchild?" indicates
the grandmother's survival guilt. The statement does not indicate that the grandparents are
hopeless about the loss, nor does it indicate that the grandparent is promoting family coping.
Though the grandparent mentioned God in the statement, it does not necessarily reflect the
religious belief of the patient's family.
Test-Taking Tip: The following are crucial requisites for doing well on the NCLEX exam: (1) A
sound understanding of the subject; (2) The ability to follow explicitly the directions given at the
beginning of the test; (3) The ability to comprehend what is read; (4) The patience to read each
question and set of options carefully before deciding how to answer the question; (5) The ability
to use the computer correctly to record answers; (6) The determination to do well; (7) A degree
of confidence.
A pregnant client asks the nurse for a second opinion after being informed about the death of the
fetus. What does the nurse infer from the client's behavior?
1
The client has professional mistrust.
2
The client is experiencing maternal denial.
3
The client is going through complicated grief.
4
The client is going through disenfranchised grief. correct answers 2
Denial is the first stage of grief when a client suffers a perinatal loss. In this stage, the client does
not believe the truth and asks the nurse for a second opinion. Denial is followed by anger and
grief. If a client asks for a second opinion about the perinatal loss, it does not mean that the client
mistrusts the professional opinion. Rather, it is indicative of the client's denial. Complicated grief
is a complex situation in which grief may not resolve over time and the bereaved client grieves
chronically. This type of grief is not associated with asking the nurse for a second opinion. A
client experiencing disfranchised grief shows symptoms of depression and remains isolated.
Test-Taking Tip: Avoid spending excessive time on any one question. Most questions can be
answered in 1 to 2 minutes.
During a follow-up phone call near the anniversary of an infant's death, the husband reports to
the nurse, "My wife has been unable to move on and resume her normal life even after a year."
What does the nurse infer from the wife's behavior?
, 1
The wife is mourning.
2
The wife is experiencing ambiguous loss.
3
The wife is experiencing complicated grief.
4
The wife is experiencing disenfranchised grief. correct answers 3
The wife is grieving for the loss of the child a year after the child's death. This indicates that the
mother's grief has not resolved with time. Therefore, the wife's grief may be considered
complicated grief. Mourning involves following the traditions and rituals; however, the wife is
not following any rituals. Therefore, the wife is not mourning. Ambiguous loss is the grief
caused by the loss of an object that is missing, such as the death of an unborn fetus. In this case,
an infant child has died. People who experience grief do not always openly express feelings of
sadness. So, the person receives limited support from the family. This type of grief is known as
disenfranchised grief, but this is not the case with the wife.
Test-Taking Tip: Pace yourself when taking practice quizzes. Because most nursing exams have
specified time limits, you should pace yourself during the practice testing period accordingly. It
is helpful to estimate the time that can be spent on each item and still complete the examination
in the allotted time. You can obtain this figure by dividing the testing time by the number of
items on the test. For example, a 1-hour (60-minute) testing period with 50 items averages 1.2
minutes per question. The NCLEX exam is not a timed test. Both the number of questions and
the time to complete the test varies according to each candidate's performance. However, if the
test taker uses the maximum of 5 hours to answer the maximum of 265 questions, each question
equals 1.3 minutes.
What constitutes defining bereavement as "complicated bereavement"?
1
Occurs when, in multiple births, one child dies and the other or others live
2
Is a state in which the parents are ambivalent, as with an abortion
3
Is an extremely intense grief reaction that persists for a long time
4
Is felt by the family of adolescent mothers who lose their babies correct answers 3
Parents showing signs of complicated grief should be referred for counseling. Multiple births in
which not all the babies survive creates a complicated parenting situation, but this is not
complicated bereavement. Abortion can generate complicated emotional responses, but those do
not constitute complicated bereavement. Families of lost adolescent pregnancies may have to
deal with complicated issues, but this is not complicated bereavement.
STUDY TIP: The old standbys of enough sleep and adequate nutritional intake also help keep
excessive stress at bay. Although nursing students learn about the body's energy needs in
anatomy and physiology classes, somehow they tend to forget that glucose is necessary for brain
