A hospice nurse is caring for a client who has a terminal illness. Which of the following client statements should the nurse identify as an indication that the client is experiencing the bargaining stage of grief?

A. "I will take a stool softener to prevent constipation.": Clients who have undergone laser surgery for open-angle glaucoma are advised to avoid straining during bowel movements because increased intraocular pressure from straining can compromise the surgical site. Taking a stool softener is an appropriate preventive measure that supports healing.

B. "I will ask to work the night shift, so I will not be driving in bright sunlight.": While protecting the eyes from bright light is generally advisable, there is no recommendation to change work shifts after glaucoma laser surgery.

C. "I will need to use my eye drops for 1 year.": The duration of postoperative eye drop use varies depending on the type of drops and the client’s response. Not all clients require drops for a full year; this generalized timeframe may be inaccurate.

D. "I will need to follow a low-protein diet.": Dietary protein intake is not typically restricted following laser surgery for glaucoma. This statement does not reflect relevant postoperative teaching.

A. Tell the children to alternate standing on one foot and observe their balance: Assessing balance does not evaluate spinal curvature or detect scoliosis. While balance testing may identify neuromuscular issues, it is not part of standard scoliosis screening and does not reveal lateral spinal deviations.

B. Ask the children to bend forward at the waist and observe them from behind: The forward bend (Adam’s forward bend) test is the recommended screening method for scoliosis. Observing from behind allows the nurse to detect asymmetry in the shoulders, ribs, or hips, which may indicate spinal curvature. This method is simple, noninvasive, and effective for early detection.

C. Tell the children to stand up straight and observe them facing forward: Viewing the child from the front while standing upright may reveal gross asymmetry but is less sensitive than the forward bend test. Subtle spinal curvatures are often not noticeable when the child is standing upright.

D. Ask the children to raise their hands over their head and turn from side to side: Raising arms and twisting does not provide clear visualization of spinal asymmetry. Scoliosis screening relies on observing the alignment of the spine and rib cage during forward flexion, not rotational movements.