A nurse is caring for a client who was recently diagnosed with a terminal illness. The client tells the nurse, "I am looking forward to seeing my grandchildren grow up." The nurse should identify that the client is experiencing which of the following stages of grief?
Denial
Bargaining
Acceptance
Anger
The Correct Answer is A
A. Denial is the first stage of grief, in which the person refuses to accept the reality of their situation and tries to maintain a sense of normalcy. The client who says they are looking forward to seeing their grandchildren grow up is denying the fact that they have a terminal illness and that they may not live long enough to witness that.
B. Bargaining involves making deals with self and God to help feel better, for instance, in this case the client will be expressing the will to do anything to prolong his life.
C. Acceptance involves coming to terms with the reality of the situation and preparing for death. The client's statement does not indicate full acceptance.
D. Anger involves feelings of resentment or frustration. The client's statement does not express anger towards their situation.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["A","C","E"]
Explanation
A. Hypocalcemia can lead to paresthesia, including tingling sensations around the lips.
B. Abdominal distention is not typically associated with hypocalcemia.
C. Hypocalcemia can result in a positive Trousseau's sign, where carpal spasm is induced by inflating a blood pressure cuff above the systolic pressure for a few minutes.
D. Chvostek's sign is typically positive in hypocalcemia, not negative.
E. Hypocalcemia can cause muscle cramps due to increased neuromuscular excitability.
Correct Answer is D
Explanation
A. Although this client may have physical limitations, they are still engaging in social activities by going to the gym, indicating less likelihood of social isolation.
B. This client has regular social interactions with family members, suggesting they are not socially isolated.
C. Regular social gatherings with friends indicate social engagement and are not indicative of social isolation.
D. Restricting activities outside the home to only essential tasks like getting the mail due to pain or other reasons can indicate social isolation and limited social interactions.
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