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 A
Explanation
a. "When I look in the mirror, all I see is a person without a leg.":
This statement reflects distorted body image, focusing entirely on the physical loss and indicating a disturbance in self-perception.
b. "If my wife had paid more attention to my blood sugar levels I would not have needed an amputation.":
This reflects blame or anger, not necessarily a body image disturbance.
c. "I have not always made good choices in life. I deserve to lose my leg.":
This reflects guilt or low self-worth, which is more emotional or spiritual distress than body image-specific.
d. "No matter how hard I work in physical therapy, I can't seem to make any progress.":
This shows frustration with recovery, not necessarily about the client's body image.
Correct Answer is B
Explanation
A. Narcotic pain management
Appropriate. Pain control is a cornerstone of palliative care.
B. Knee replacement surgery
This is a curative, invasive procedure and is not aligned with palliative goals.
C. Supplemental oxygen
Appropriate. It can be used for symptom relief.
D. Non-pharmacological pain management
Appropriate and encouraged in palliative care.
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