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 A

Explanation

The patient's statement reflects the stage of bargaining in Kübler-Ross's model of the five stages of grief and dying. During the bargaining stage, individuals may negotiate with a higher power or express desires to postpone or mitigate the inevitable outcome, such as death. In this case, the patient is expressing a wish to live long enough to witness the birth of their first grandchild, indicating a form of negotiation or bargaining with fate or circumstances.

A. Bargaining: Bargaining is characterized by attempts to negotiate or make deals in an effort to postpone or change the outcome of a situation, often involving a plea for more time or specific circumstances. The patient's statement about wanting to live long enough to see their first grandchild born exemplifies this stage, as they are expressing a desire to prolong their life to experience a significant event.

B. Anger: Anger involves feelings of frustration, resentment, or rage directed towards oneself, others, or the situation. The patient's statement does not reflect anger but rather a hopeful desire to witness a significant life event, indicating a different stage of grieving and acceptance.

C. Denial: Denial involves refusing to accept the reality of a situation or diagnosis, often accompanied by disbelief or avoidance of the truth. The patient's statement does not suggest denial, as they are acknowledging their impending death but expressing a desire for a specific experience before it occurs.

D. Depression: Depression in the context of Kübler-Ross's model involves feelings of sadness, hopelessness, and withdrawal in response to the impending loss or death. While the patient's statement may evoke emotions related to the significance of the event, it does not necessarily reflect depression as the primary stage of grief being experienced. Instead, it aligns more closely with bargaining, as the patient is expressing a desire for a particular outcome before facing death.

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

Correct Answer is A

Explanation

A. Anger: The statement reflects feelings of frustration, resentment, or hostility towards the company for their actions. This aligns with the stage of anger in Kübler-Ross's stages of dying, where individuals may experience anger towards others or the situation. In this case, the individual is expressing anger towards the company for causing harm or inconvenience.

B. Depression: Depression involves feelings of sadness, hopelessness, and despair. The statement does not directly express depressive symptoms but rather indicates a desire to take action against the company.

C. Denial: Denial is characterized by refusing to accept the reality of the situation. The statement does not indicate denial but rather acknowledges and reacts to the situation.

D. Bargaining: Bargaining involves attempting to negotiate or make deals to change the outcome of a situation. The statement does not suggest bargaining behavior but rather an intent to take legal action against the company.

E. Acceptance: Acceptance is characterized by coming to terms with one's impending death or loss. The statement does not reflect acceptance but rather a desire to address and rectify an issue caused by the company's actions.

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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?

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Explanation

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