A nurse is caring for a client who has been diagnosed with end-stage liver cancer. Which of the following responses is an indication the client is in the denial phase of the grief process?
I need someone near me all the time, l am very tired.
The doctor has been so good to me. I know he has tried everything he can. It is just my time.
The doctor says only have a few months to live, but know he is exaggerating to get me to take my medication.
Even though am not hurting right now, I don't feel like I have the energy to get out of bed.
The Correct Answer is C
This statement shows that the client is not accepting the reality of their prognosis and is dismissing the doctor's professional opinion. Denial is a common stage in the grief process where individuals may refuse to believe or accept a difficult reality, often as a coping mechanism to avoid the pain and sadness of the situation. Options a, b, d, and e do not indicate denial and instead may suggest fatigue, acceptance, physical weakness, and anger or frustration, respectively.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Diarrhea, vomiting, and drowsiness are potential signs of lithium toxicity, which can be a serious and potentially life-threatening condition. If a client who is being treated with lithium carbonate develops these symptoms, the nurse should notify the health care provider immediately and hold the next dose of medication until new orders are received from the provider.
Option a. Hold the medication and refuse to administer additional doses for 3 days is not an appropriate action because it does not involve notifying the health care provider or obtaining new orders.
Option b. Notify the health care provider immediately and give 4 liters of fluids is not an appropriate action because it involves administering fluids without obtaining orders from the health care provider.
Option d. Document the client’s symptoms and continue with medication as prescribed is not an appropriate action because it does not involve notifying the health care provider or holding the next dose of medication.
Correct Answer is C
Explanation
The Industry versus Inferiority stage occurs during the ages of 6 to 12 years old. At this stage, children start to develop a sense of competence and work towards mastering new skills. Success during this stage leads to a sense of pride, while failure leads to feelings of inferiority.
Chronic illness can interfere with a child's ability to develop a sense of competence and mastery, leading to feelings of failure and inferiority. This can have a negative impact on their self-esteem and overall development.
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