Complicated bereavement: a. Occurs when, in multiple births, ...

[haleyc112]

Complicated bereavement:
 
  a. Occurs when, in multiple births, one child dies, and the other or others live.
  b. Is a state in which the parents are ambivalent, as with an abortion.
  c. Is an extremely intense grief reaction that persists for a long time.
  d. Is felt by the family of adolescent mothers who lose their babies.

Question 2

During the initial acute distress phase of grieving, parents still must make unexpected and unwanted decisions about funeral arrangements and even naming the baby. The nurse's role should be to:
 
  a. Take over as much as possible to relieve the pressure.
  b. Encourage grandparents to take over.
  c. Make sure the parents themselves approve the final decisions.
  d. Let them alone to work things out.

[lgoldst9]

Answer to Question 1

ANS: C
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 they do not constitute complicated bereavement. Families of lost adolescent pregnancies may have to deal with complicated issues, but this is not complicated bereavement.

Answer to Question 2

ANS: C
The nurse is always the client's advocate. Nurses can offer support and guidance and leave room for the same from grandparents. However, in the end nurses should strive to let the parents make the final decisions.