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?

A. Request a prescription for lactulose from the provider: Lactulose is a laxative commonly used to treat constipation, but it is not appropriate for managing fecal incontinence in a hospice client approaching death. It focuses on promoting bowel movements rather than managing incontinence.

B. Place an occlusive dressing over the client's buttocks every 8 hr: Occlusive dressings are not typically used for managing fecal incontinence. They may trap moisture and exacerbate skin breakdown, especially in a hospice client who may be immobile or bedridden.

C. Insert a lubricated rectal tube gently: Inserting a rectal tube is invasive and may cause discomfort or injury, especially in a client who is approaching death. It is not recommended for managing fecal incontinence in this situation.

D. Keep disposable undergarments clean and dry: This is the most appropriate action for managing fecal incontinence in a hospice client. Keeping disposable undergarments clean and dry helps maintain skin integrity and prevents skin breakdown and discomfort. It also promotes comfort and dignity for the client during this sensitive time.

A. Anger: The behavior of pushing others away and expressing hostility or frustration ("Go away, I don't want company") is indicative of the anger stage in Kübler-Ross's stages of dying. During this stage, individuals may experience feelings of resentment, frustration, or anger towards themselves, others, or their situation.

B. Acceptance: Acceptance involves coming to terms with one's own mortality and the reality of impending death. The behavior described does not reflect acceptance but rather resistance and refusal of company.

C. Bargaining: Bargaining involves attempting to negotiate or make deals to change the outcome of a situation. The behavior described does not reflect bargaining but rather a rejection of company.

D. Denial: Denial is characterized by refusing to accept the reality of one's impending death or the severity of one's condition. While the behavior described may involve avoidance or rejection, it is more indicative of anger than denial.

E. Depression: Depression involves feelings of sadness, hopelessness, and despair. While the behavior of pushing others away may result from feelings of depression, it is more specifically aligned with the anger stage, where hostility and frustration are prominent.