Advanced Professional Practice Flashcards

Which theoretical framework specifically addresses the oscillation between loss-oriented and restoration-oriented coping in bereaved parents?

Answer: Stroebe and Schut's Dual Process Model

The Dual Process Model describes healthy grief as oscillating between confronting the loss and attending to life changes and restoration.

A perinatal bereavement nurse is supporting a father who says he 'has to stay strong' for his partner and denies his own grief. Which response reflects advanced practice?

Answer: Gently normalize that fathers grieve too and deserve their own support

Normalizing paternal grief and making support explicitly available challenges the cultural expectation that fathers must suppress their grief.

When crafting a bereavement care plan for a family from a culture that views discussing death as taboo, the most appropriate first step is:

Answer: Ask the family how they would like to talk about and remember their baby

Asking the family directly how they wish to engage respects cultural individuality and avoids assumptions based on group identity.

Which documentation practice is most critical in perinatal bereavement care to ensure continuity across care shifts?

Answer: Logging all memory items offered and the family's response

Documenting every offered intervention and the family's response ensures subsequent caregivers can provide consistent, informed support.

A hospital is evaluating its perinatal bereavement program. Which outcome measure best reflects quality of family-centered bereavement care?

Answer: Post-discharge family satisfaction surveys and grief follow-up contact rates

Family satisfaction data and follow-up contact rates directly measure how well the program meets bereaved families' needs and maintains connection.

A parent whose baby died from a chromosomal anomaly asks whether the same thing will happen in a future pregnancy. The bereavement specialist's most appropriate response is to:

Answer: Refer the parent to a genetic counselor for accurate recurrence information

Referring to a genetic counselor ensures the family receives accurate, personalized recurrence risk information beyond the bereavement specialist's scope.

Which scenario best illustrates complicated grief (prolonged grief disorder) in a bereaved parent one year after a perinatal loss?

Answer: Unable to return to work, persistent disbelief the death occurred, yearning daily

Persistent functional impairment, disbelief, and daily intense yearning at one year post-loss are hallmarks of prolonged grief disorder requiring clinical referral.