PMH-C Perinatal Loss & Grief 3

Question 1

Which population experiences particularly high rates of stillbirth in the United States, reflecting systemic health disparities?

Accepted Answer

Black/African American women

Answer

Asian American women

Answer

White non-Hispanic women

Answer

Pacific Islander women

Question 2

A PMH-C clinician is conducting a bereavement follow-up visit 6 weeks after a patient's stillbirth. Which of the following is the LEAST appropriate action?

Accepted Answer

Telling the patient she should be 'moving on' by now

Answer

Screening for postpartum depression and PTSD symptoms

Answer

Asking about the patient's support system and social resources

Answer

Assessing for suicidal ideation

Question 3

Traumatic grief following perinatal loss often includes which of the following PTSD-like symptoms?

Accepted Answer

Intrusive memories, avoidance, and hyperarousal related to the loss

Answer

Increased appetite and sleep

Answer

Elevated mood and increased energy

Answer

Delusions about the infant still being alive

Question 4

Which of the following best describes the concept of 'continuing bonds' in contemporary grief theory?

Accepted Answer

An ongoing, evolving relationship with the deceased that is compatible with healthy grieving

Answer

Maintaining a physical relationship with the deceased through spiritual rituals only

Answer

A pathological inability to accept the reality of death

Answer

A therapeutic technique used exclusively in complicated grief treatment

Question 5

A patient terminated a pregnancy due to a fetal anomaly diagnosis and presents with guilt and grief. Which statement best guides the clinician's approach?

Accepted Answer

Termination for medical reasons (TFMR) constitutes a significant loss that deserves the same compassionate grief support as other perinatal losses

Answer

Termination for medical reasons does not warrant grief support

Answer

The patient's grief is self-inflicted and should not be prioritized clinically

Answer

Grief after TFMR resolves quickly without intervention

Question 6

Which of the following support resources is specifically designed for families who have experienced pregnancy and infant loss in the United States?

Accepted Answer

SHARE Pregnancy & Infant Loss Support

Answer

National Alliance on Mental Illness (NAMI)

Answer

Postpartum Support International (PSI) only

Answer

American Red Cross Disaster Services

Question 7

When working with a bereaved mother from a culture that emphasizes stoic acceptance of loss and discourages open emotional expression, the culturally competent PMH-C clinician should:

Accepted Answer

Explore her cultural beliefs and adapt support to align with her values while assessing for concerning symptoms

Answer

Encourage her to express grief according to Western norms to ensure proper healing

Answer

Assume she does not need bereavement support because her culture handles grief differently

Answer

Refer her exclusively to a clinician of her same cultural background