The nurse is providing bereavement care to a family after a stillbirth. What is an example of communication with a patient that demonstrates effective bereavement care?

Correct Answer: C

Rationale: In the context of providing bereavement care to a family after a stillbirth, effective communication plays a crucial role in supporting the family through their grieving process. Option C, "Are there any religious ceremonies you would like for us to coordinate for you?" demonstrates effective bereavement care because it acknowledges the family's unique needs and offers support in honoring their cultural or religious practices, which can be comforting during this difficult time. Options A, B, and D are incorrect because they do not reflect sensitive and empathetic communication. Option A may inadvertently invalidate the family's experience by focusing on what they have lost rather than acknowledging their grief. Option B uses insensitive language referring to the fetus instead of recognizing the emotional impact on the family. Option D, while well-intentioned, takes away the family's autonomy by assuming decisions on their behalf, which can be disempowering during the grieving process. Educationally, this question highlights the importance of effective communication skills in providing bereavement care. Nurses must be able to demonstrate empathy, cultural competence, and a patient-centered approach to support families who are experiencing loss. Understanding the diverse needs of families and offering individualized support can help nurses provide holistic care during such sensitive situations.

Correct Answer: C

Rationale: Respiratory distress syndrome is a leading cause of mortality in preterm infants due to underdeveloped lungs. Intraventricular hemorrhage is serious, necrotizing enterocolitis typically presents with gastrointestinal issues rather than constipation, and surfactant therapy helps improve lung function without causing excessive pliability.

Correct Answer: C

Rationale: Rationale: The correct answer is C) Give them permission to cry and grieve. This option is the most appropriate because it acknowledges the siblings' emotions and allows them to express their grief in a healthy way. Option A) Try not to discuss your grief with siblings is incorrect because communication is crucial in processing grief, and hiding emotions can lead to confusion and feelings of isolation in siblings. Option B) Wait until children are older to be honest about their sibling’s death is not recommended as honesty and age-appropriate explanations are essential in helping siblings understand and cope with the loss. Option D) Avoid displaying pictures of the newborn until the sibling is older is not the best approach as it may prevent the sibling from forming memories and connections with the lost newborn, hindering the grieving process. Educationally, it is important for nurses to understand the impact of neonatal loss on siblings and provide guidance to parents on supporting them through grief. Encouraging open communication, validating emotions, and creating opportunities for siblings to express their feelings are crucial in helping them navigate the grieving process effectively.

Correct Answer: C

Rationale: In the context of pharmacology and the nursing care of the newborn and family, understanding the Clinical Judgment Model (CJMM) is crucial for accurate assessment and decision-making. The two steps of the CJMM included in the assessment step of the nursing process are noticing and analyzing cues. A) Noticing cues and evaluating outcomes is incorrect because evaluating outcomes typically occurs in the evaluation phase of the nursing process, not during the initial assessment phase. B) Analyzing cues and generating solutions is incorrect because generating solutions usually takes place during the planning phase of the nursing process, after the assessment has been completed. D) Analyzing cues and taking action is incorrect because taking action is a step that follows the assessment and planning stages in the nursing process. Educationally, understanding the assessment phase of the nursing process is fundamental for providing safe and effective care. By correctly identifying and analyzing cues during assessment, nurses can gather the necessary information to make informed clinical judgments and develop appropriate care plans tailored to the needs of the newborn and their family. These skills are essential in pharmacology to ensure the safe administration of medications and monitor for any potential adverse effects in this vulnerable population.