A family is informed that the brain damage to their daughter is irreversible. The father is later overheard making vacation plans and discussing what the family will do when his daughter leaves the hospital. The nurse recognizes the father is in which crisis stage?
Denial
Reconciliation
High anxiety
Adaptation
The Correct Answer is A
A. Denial: Denial is a common initial reaction to bad news, where the individual is unable to accept the reality of the situation. The father's planning for the future as if his daughter will recover is indicative of denial.
B. Reconciliation: Reconciliation is not typically used as a term to describe a stage of grief or crisis response. It usually refers to the process of making peace with a situation, which does not fit the father's current behavior.
C. High anxiety: High anxiety would likely manifest as visible stress, agitation, or frantic behavior, not the calm and hopeful planning described.
D. Adaptation: Adaptation involves adjusting to a new reality and moving forward. The father's behavior suggests he has not yet accepted the reality of his daughter's condition, which rules out adaptation.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. "Cellulitis can come back at any time." This statement reflects an understanding that cellulitis can recur, which indicates that the patient is aware of the potential for reinfection.
B. "My skin is cleared up. I don't think I need the medication anymore." Antibiotics should be taken for the full prescribed duration even if symptoms improve, to ensure complete eradication of the infection.
C. "Cellulitis is contagious." While cellulitis itself is not contagious, this statement does not necessarily indicate misunderstanding of antibiotic therapy.
D. "If I had washed that scratch with soap and water, I probably would not have gotten cellulitis." This reflects an understanding of preventative measures, although proper medical treatment is still required for existing cellulitis.
Correct Answer is D
Explanation
A. Monitor for signs of seizure activity: Seizure activity is not directly related to the condition described.
B. Increase the IV rate and monitor for burn shock: Increasing the IV rate could exacerbate fluid overload; burn shock is more of a concern in the initial hours post-burn.
C. Raise the foot of the bed and apply blankets. This is not relevant to addressing the issue of large urine output.
D. Assess for signs of fluid overload: After the initial fluid resuscitation phase, large urine output may indicate that fluid is being mobilized from the tissues back into the vascular system, potentially leading to fluid overload.
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