A nurse is caring for a client who has a terminal diagnosis and a 3-month life expectancy. The client appears cheerful and states they are looking forward to a vacation next year. The nurse should identify that the client is experiencing which of the following Kubler-Ross stages of grief?
Anger
Bargaining
Depression
Denial
The Correct Answer is D
A. Anger is characterized by feelings of frustration or resentment about the terminal diagnosis, which is not reflected in the client’s cheerful demeanor.
B. Bargaining involves attempting to negotiate for more time or a cure, often through “if only” statements or promises, which is not indicated in this scenario.
C. Depression is marked by sadness, withdrawal, or hopelessness in response to terminal illness, which contrasts with the client’s positive outlook.
D. Denial is the stage in which a client may refuse to accept the reality or severity of their prognosis. The client’s statement about looking forward to a vacation beyond their expected lifespan demonstrates denial, as they are not fully acknowledging the terminal nature of their condition.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. A researcher designs or conducts studies, which is not the nurse’s role in obtaining informed consent for a procedure.
B. Advocate is correct because the nurse ensures the client understands the procedure, its risks and benefits, and has the opportunity to make an informed decision. The nurse protects the client’s rights and supports autonomous decision-making.
C. A case manager coordinates care and resources for the client but is not primarily responsible for obtaining informed consent.
D. A nurse manager oversees staff and unit operations; this role is unrelated to the consent process.
Correct Answer is ["B","C","E"]
Explanation
A. Data contained in a client's medical record cannot be shared with all employees; access is limited to those directly involved in the client’s care, in accordance with HIPAA and confidentiality regulations.
B. Documentation should be organized and completed in a timely fashion to ensure accurate, clear, and current information is available for other healthcare providers and for legal purposes.
C. A medical record can be used as evidence in a court of law, so entries must be factual, objective, and precise to accurately reflect care provided.
D. Documentation should be objective and factual, not include the nurse’s personal interpretations or assumptions, as subjective interpretations can be misleading or legally problematic.
E. Information recorded must be accurate and complete to reflect the client’s condition, interventions, and responses, supporting continuity of care and protecting the nurse legally and professionally.
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