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TEST BANK
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TEST BANK FOR MATERNITY AND WOMEN'S HEALTH
CARE 13TH EDITION LOWDERMILK CHAPTER 37 |
COMPLETE GUIDE NEWEST VERSION 2024
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Chapter : Perinatal Loss, Bereavement, and Grief
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1. 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?
a. Refers to the two live infants as twins
b. Asks about the dead triplets current status
c. Brings in play clothes for all three infants
d. Refers to the dead infant in the past tense
ANS: D
Accepting that the infant is dead (in the past tense of the word) demonstrates an acceptance of
the reality and that the family has begun to grieve. Parents of multiples are challenged with the
task of parenting and grieving at the same time. Referring to the two live infants as twins does
not acknowledge an acceptance of the existence of their third child. Bringing in play clothes for
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all three infants indicates that the parents are still in denial regarding the death of the third triplet.
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The death of the third infant has imposed a confusing and ambivalent induction into parenthood
Ma
for this couple. If the two live infants are referred to as twins and/or if play clothes for all three
infants are still considered, then the family is clearly still in denial regarding the death of one of
the triplets.
DIF: Cognitive Level: Understand REF: IM: 927
TOP: Nursing Process: Assessment MSC: Client Needs: Psychosocial Integrity
2. A newborn in the neonatal intensive care unit (NICU) is dying as a result of a massive
infection. The parents speak to the neonatologist, who informs them of their sons prognosis.
When the father sees his son, he says, He looks just fine to me. I cant understand what all this is
about. What is the most appropriate response or reaction by the nurse at this time?
a. Didnt the physician tell you about your sons problems?
b. This must be a difficult time for you. Tell me how youre doing.
c. Quietly stand beside the infants father.
d. Youll have to face up to the fact that he is going to die sooner or later.
ANS: B
The phase of intense grief can be very difficult, especially for fathers. Parents should be
encouraged to share their feelings during the initial steps in the grieving process. This father is in
a phase of acute distress and is reaching out to the nurse as a source of direction in his grieving
process. Shifting the focus is not in the best interest of the parent. Nursing actions may help the
parents actualize the loss of their infant through a sharing and verbalization of their feelings of
grief. Telling the father that his son is going to die sooner or later is dispassionate and an
inappropriate statement on the part of the nurse.
DIF: Cognitive Level: Apply REF: IM: 911 TOP: Nursing Process: Planning
MSC: Client Needs: Psychosocial Integrity
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3. During the initial acute distress phase of grieving, parents still must make unexpected and
He ern
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unwanted decisions about funeral arrangements and even naming the baby. What is the nurses
Ma
role at this time?
a. To take over as much as possible to relieve the pressure
b. To encourage the grandparents to take over
c. To ensure that the parents, themselves, approve the final decisions
d. To leave them alone to work things out
ANS: C
The nurse is always the clients advocate. Nurses can offer support and guidance and yet leave
room for the same from grandparents. In the end, however, nurses should let the parents make
the final decisions. For the nurse to be able to present options regarding burial and autopsy,
among other issues, in a sensitive and respectful manner is essential. The nurse should assist the
parents in any way possible; however, taking over all arrangements is not the nurses role.
Grandparents are often called on to help make the difficult decisions regarding funeral
arrangements or the disposition of the body because they have more life experiences with taking
care of these painful, yet required arrangements. Some well-meaning relatives may try to take
over all decision-making responsibilities. The nurse must remember that the parents, themselves,
should approve all of the final decisions. During this time of acute distress, the nurse should be
present to provide quiet support, answer questions, obtain information, and act as a client
advocate.
DIF: Cognitive Level: Understand REF: IM: 921
TOP: Nursing Process: Implementation MSC: Client Needs: Psychosocial Integrity
4. 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?
a. Siblings
b. Mother
c. Father
n'
me
Wo
Ca and
re
th y
al it
TEST BANK
He ern
t
Ma
TEST BANK FOR MATERNITY AND WOMEN'S HEALTH
CARE 13TH EDITION LOWDERMILK CHAPTER 37 |
COMPLETE GUIDE NEWEST VERSION 2024
, s
n'
me
Wo
Ca and
re
th y
Chapter : Perinatal Loss, Bereavement, and Grief
al it
He ern
t
Ma
1. 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?
a. Refers to the two live infants as twins
b. Asks about the dead triplets current status
c. Brings in play clothes for all three infants
d. Refers to the dead infant in the past tense
ANS: D
Accepting that the infant is dead (in the past tense of the word) demonstrates an acceptance of
the reality and that the family has begun to grieve. Parents of multiples are challenged with the
task of parenting and grieving at the same time. Referring to the two live infants as twins does
not acknowledge an acceptance of the existence of their third child. Bringing in play clothes for
, s
n'
me
Wo
Ca and
re
th y
al it
all three infants indicates that the parents are still in denial regarding the death of the third triplet.
He ern
t
The death of the third infant has imposed a confusing and ambivalent induction into parenthood
Ma
for this couple. If the two live infants are referred to as twins and/or if play clothes for all three
infants are still considered, then the family is clearly still in denial regarding the death of one of
the triplets.
DIF: Cognitive Level: Understand REF: IM: 927
TOP: Nursing Process: Assessment MSC: Client Needs: Psychosocial Integrity
2. A newborn in the neonatal intensive care unit (NICU) is dying as a result of a massive
infection. The parents speak to the neonatologist, who informs them of their sons prognosis.
When the father sees his son, he says, He looks just fine to me. I cant understand what all this is
about. What is the most appropriate response or reaction by the nurse at this time?
a. Didnt the physician tell you about your sons problems?
b. This must be a difficult time for you. Tell me how youre doing.
c. Quietly stand beside the infants father.
d. Youll have to face up to the fact that he is going to die sooner or later.
ANS: B
The phase of intense grief can be very difficult, especially for fathers. Parents should be
encouraged to share their feelings during the initial steps in the grieving process. This father is in
a phase of acute distress and is reaching out to the nurse as a source of direction in his grieving
process. Shifting the focus is not in the best interest of the parent. Nursing actions may help the
parents actualize the loss of their infant through a sharing and verbalization of their feelings of
grief. Telling the father that his son is going to die sooner or later is dispassionate and an
inappropriate statement on the part of the nurse.
DIF: Cognitive Level: Apply REF: IM: 911 TOP: Nursing Process: Planning
MSC: Client Needs: Psychosocial Integrity
, s
n'
me
Wo
Ca and
re
th y
al it
3. During the initial acute distress phase of grieving, parents still must make unexpected and
He ern
t
unwanted decisions about funeral arrangements and even naming the baby. What is the nurses
Ma
role at this time?
a. To take over as much as possible to relieve the pressure
b. To encourage the grandparents to take over
c. To ensure that the parents, themselves, approve the final decisions
d. To leave them alone to work things out
ANS: C
The nurse is always the clients advocate. Nurses can offer support and guidance and yet leave
room for the same from grandparents. In the end, however, nurses should let the parents make
the final decisions. For the nurse to be able to present options regarding burial and autopsy,
among other issues, in a sensitive and respectful manner is essential. The nurse should assist the
parents in any way possible; however, taking over all arrangements is not the nurses role.
Grandparents are often called on to help make the difficult decisions regarding funeral
arrangements or the disposition of the body because they have more life experiences with taking
care of these painful, yet required arrangements. Some well-meaning relatives may try to take
over all decision-making responsibilities. The nurse must remember that the parents, themselves,
should approve all of the final decisions. During this time of acute distress, the nurse should be
present to provide quiet support, answer questions, obtain information, and act as a client
advocate.
DIF: Cognitive Level: Understand REF: IM: 921
TOP: Nursing Process: Implementation MSC: Client Needs: Psychosocial Integrity
4. 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?
a. Siblings
b. Mother
c. Father
