A nurse is caring for a client who was recently diagnosed with a terminal illness. Which of the following statements by the client indicates that they are coping effectively?

"This is happening too fast. I can't believe it."

"I am planning to put all my wishes in writing."

"I have no idea what to do next."

"I'll just follow whatever the doctor says."

Answer and Explanation

The Correct Answer is B

Choice A reason: Expressing disbelief may indicate denial, a common but early stage of coping, not necessarily effective adaptation.
Choice B reason: Planning and documenting wishes reflects acceptance, proactive coping, and emotional processing.
Choice C reason: Expressing confusion suggests emotional overwhelm and lack of coping strategies.
Choice D reason: Passive compliance may indicate avoidance or lack of engagement in decision-making, which is less adaptive than active planning.

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Correct Answer is A

Explanation

Choice A reason: The orientation phase focuses on establishing trust, defining roles, and setting goals collaboratively. This sets the foundation for therapeutic engagement.
Choice B reason: Teaching problem-solving skills is more appropriate during the working phase when interventions are actively implemented.
Choice C reason: Incorporating strategies into daily life occurs later in the relationship, typically during the working or termination phase.
Choice D reason: Evaluation of coping mechanisms is part of the working or termination phase, not the initial orientation phase.

A. The nurse places the client in a quiet environment. B. The nurse provides consistent caregivers. C. The nurse limits the number of choices the client has to make. D. The nurse frequently reorients the client to reality.

Correct Answer is D

Explanation

Choice A reason: A quiet environment helps reduce overstimulation and confusion in clients with dementia. It supports cognitive stability and emotional comfort.

Choice B reason: Consistent caregivers promote trust and familiarity, which are essential in dementia care. This reduces anxiety and behavioral disturbances.

Choice C reason: Limiting choices prevents decision fatigue and confusion. It helps the client feel more in control without overwhelming them.

Choice D reason: Frequent reality orientation may increase agitation in clients with advanced dementia. Instead, validation therapy or distraction techniques are preferred to maintain emotional stability.

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A nurse is caring for a client who was recently diagnosed with a terminal illness. Which of the following statements by the client indicates that they are coping effectively?

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