A nurse in a provider's office is collecting data from a client one month following surgery for a new colostomy. Which of the following statements indicates the client is in the acceptance stage of grieving?

"I have purchased a stoma cap I can use when needed."

"My partner empties my pouch for me every morning."

"I am embarrassed by the odor that comes from my colostomy."

"I miss going to my church meetings like I used to do."

Answer and Explanation

The Correct Answer is A

Choice A reason: This statement reflects acceptance as the client is taking proactive steps to manage their colostomy independently, which is indicative of adapting to the change in body function.

Choice B reason: While having a partner's support is beneficial, this statement does not necessarily indicate acceptance. It could suggest reliance on others rather than selfcare and acceptance.

Choice C reason: Feeling embarrassed by the colostomy's odor suggests that the client is still struggling with the social implications of their condition, which is not indicative of the acceptance stage.

Choice D reason: Expressing a sense of loss about previous activities, such as attending church meetings, indicates that the client may be in the earlier stages of grieving, such as denial or bargaining, rather than acceptance.

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Correct Answer is D

Explanation

Choice A reason: A fasting blood glucose of 100 mg/dL is at the high end of the normal range and may not necessarily indicate good control over the past 3 months.

Choice B reason: A fasting blood glucose of 70 mg/dL is within the normal range but does not reflect long-term glucose control.

Choice C reason: An HbA1C of 12.5% is significantly high and indicates poor blood glucose control over the past 3 months.

Choice D reason: An HbA1c of 6.5% is within the target range for many individuals with diabetes, suggesting good blood glucose control over the past 3 months.

A. Remain upright for 30 minutes after eating. B. Eliminate simple sugars. C. Eat three large meals per day. D. Drink water with meals.

Correct Answer is B

Explanation

Choice A reason: Remaining upright for 30 minutes after eating may help with digestion, but it is not specific to the management of dumping syndrome.

Choice B reason: Eliminating simple sugars is crucial in the management of dumping syndrome as they can cause rapid gastric emptying, leading to symptoms.

Choice C reason: Eating three large meals per day is not recommended for dumping syndrome; smaller, more frequent meals are advised to prevent symptoms.

Choice D reason: Drinking water with meals can exacerbate symptoms of dumping syndrome by increasing the speed of gastric emptying; it is better to drink fluids between meals.

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A nurse in a provider's office is collecting data from a client one month following surgery for a new colostomy. Which of the following statements indicates the client is in the acceptance stage of grieving?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is B

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