A nurse is caring for a client in the emergency department who had a traumatic amputation of his left arm in an industrial accident 1 hr ago. The nurse should expect the client to be in which of the following stages of grief?
Denial
Depression
Acceptance
Bargaining
The Correct Answer is A
A. Denial:
Denial is often the first stage of grief, especially shortly after a traumatic and unexpected event.
B. Depression:
Depression typically appears in later stages, after the reality of the loss has set in.
C. Acceptance:
Acceptance occurs at the end of the grief process after full emotional processing.
D. Bargaining:
Bargaining usually comes after denial and involves trying to negotiate to reverse or lessen the loss.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. “This is not working, and I plan to stop treatment.”: This shows frustration but not necessarily understanding or acceptance of prognosis.
B. “I am hoping this will help relieve my discomfort.”: This statement reflects the goal of palliative care, which is comfort-focused, and shows understanding of the approach.
C. “I am thinking of getting a second opinion.”: Suggests continued hope for a cure, not acceptance.
D. “This is making me stronger every day.”: Indicates a misunderstanding of the intent of palliative care, which is not curative.
Correct Answer is B
Explanation
a. perceived:
A perceived loss is not easily recognized by others. These losses (family time, help, and community) are observable, so not perceived.
b. situational:
These are losses due to a change in life circumstances—in this case, moving. This is a clear example of situational loss.
c. conditional:
“Conditional loss” is not a standard category of loss in nursing or grief theory.
d. maturation:
Maturational loss refers to normal developmental changes, not situational moves.
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