A nurse is caring for a client who has a new diagnosis of chronic renal failure. The nurse should recognize which of the following client statements as an indication of anticipatory grief?

"l can now eat whatever I want. It will be dialyzed out of my system."

"l know that renal failure runs in my family and I can prevent it."

"l just can't believe that my whole life is going to be ruined by dialysis."

"l know that I will get a kidney transplant. I am a good candidate."

Answer and Explanation

The Correct Answer is C

A. "I can now eat whatever I want. It will be dialyzed out of my system.": This statement reflects a lack of understanding about the dietary restrictions and lifestyle changes necessary with chronic renal failure rather than anticipatory grief.

B. "I know that renal failure runs in my family and I can prevent it.": This statement suggests a focus on prevention and may not indicate anticipatory grief. It reflects the client's awareness of their family history and their belief in their ability to take preventive measures.

C. "I just can't believe that my whole life is going to be ruined by dialysis.": This statement expresses a sense of disbelief and distress about the impact of dialysis on the client's life. It suggests that the client is already grieving the perceived loss of their previous way of life, indicating anticipatory grief.

D. "I know that I will get a kidney transplant. I am a good candidate.": This statement reflects hope and optimism about the possibility of a kidney transplant, which may not align with anticipatory grief. It indicates the client's understanding of treatment options and a positive outlook for the future.

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Correct Answer is D

Explanation

A. Hospice care does not exclude hospital care entirely. While the primary focus is on providing care in the patient's preferred setting, whether it be at home, in a nursing facility, or in a hospital, hospice services can extend to these settings as needed.

B. Hospice care does aim to provide comfort and support to patients at the end of life, but it does not focus on hastening death. Instead, it emphasizes enhancing the quality of life and ensuring comfort during the dying process, whether at home or in another setting chosen by the patient.

C. Hospice does not support assisted suicide or euthanasia. Its primary goal is to provide holistic care and support to patients and their families during the end-of-life period while upholding the patient's dignity and autonomy.

D. Hospice philosophy emphasizes symptom management and comfort care as its primary focus. The goal is to enhance the quality of life for terminally ill patients by addressing physical, emotional, and spiritual needs while supporting both the patient and their family through the dying process.

A. Depression B. Acceptance C. Bargaining D. Anger E. Denial

Correct Answer is E

Explanation

A. Depression: Depression is characterized by feelings of sadness, hopelessness, and despair. The statement "She's not that sick!" does not directly reflect depressive symptoms.

B. Acceptance: Acceptance is the final stage in Kübler-Ross's stages of dying, characterized by coming to terms with one's impending death or loss. The statement does not indicate acceptance of the situation.

C. Bargaining: Bargaining involves attempts to negotiate or make deals to change the outcome of a situation, often in exchange for a better outcome. The statement does not suggest bargaining behavior.

D. Anger: Anger involves feelings of frustration, resentment, or hostility towards the situation or others. While the statement could potentially lead to anger in others, it does not directly express anger itself. E. Denial: Denial is the initial stage where individuals refuse to accept the reality of their situation or the severity of their illness. The statement "She's not that sick!" directly reflects denial, as it indicates a refusal to acknowledge the seriousness of the situation.

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A nurse is caring for a client who has a new diagnosis of chronic renal failure. The nurse should recognize which of the following client statements as an indication of anticipatory grief?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A terminally ill patient and his family have requested hospice care. The nurse clarifies hospice care philosophy as:

Correct Answer is D

Explanation

Directions: Correlate the behavior with Kübler-Ross's stages of dying from the choices below. "She's not that sick!"

Correct Answer is E

Explanation

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