A nurse is caring for a patient who has been diagnosed with end-stage liver cancer.
Which statement by the patient indicates that the patient is in the denial phase of the grief process?

“Even though I am not hurting right now, I don’t feel like I have the energy to get out of bed.”.

“The doctor has been so good to me. I know he has tried everything he can. It is just my time.”.

“The doctor says I only have a few months to live, but I know he is exaggerating to get me to take my medication.”.

“I can’t believe that doctor graduated from medical school. He doesn’t know a thing about treating cancer.”.

Answer and Explanation

The Correct Answer is C

Choice A rationale
This statement indicates fatigue and lack of energy, which are common symptoms in patients with end-stage liver cancer. However, it does not necessarily indicate denial.
Choice B rationale

This statement suggests acceptance rather than denial. The patient acknowledges the doctor’s efforts and seems to accept their own mortality.
Choice C rationale
This statement indicates denial. The patient is dismissing the doctor’s prognosis and expressing disbelief about the severity of their condition.
Choice D rationale
This statement suggests anger or frustration towards the doctor, but it does not necessarily indicate denial.

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Correct Answer is B

Explanation

Choice A rationale
While intestinal obstruction can occur after any abdominal surgery, it is not the most common complication following ileostomy creation.
Choice B rationale
Fluid and electrolyte imbalance is a common complication following ileostomy surgery. This is due to the fact that the ileum, which is now rerouted to an external opening in the abdominal wall, is responsible for absorbing a significant amount of fluid and electrolytes. When it is diverted, these substances can be lost, leading to imbalances.
Choice C rationale
Malabsorption of fat is not typically a primary concern following ileostomy surgery. While malabsorption can occur in diseases affecting the ileum, it is not a direct result of the surgery itself.
Choice D rationale
Folate deficiency is not a common complication following ileostomy surgery. The terminal ileum, which is typically used to create the ileostomy, is primarily responsible for the absorption of vitamin B12, not folate.

A. Cramping, constant pain to the left lower quadrant B. Diarrhea for 3 days C. Sudden onset 2 hours earlier D. Pain located in the right lower quadrant.

Correct Answer is A

Explanation

Choice A rationale
Diverticulitis is a condition that occurs when small pouches in the digestive tract become inflamed or infected. It typically causes severe, cramping pain that is constant and usually located in the lower left side of the abdomen.
Choice B rationale
While diarrhea can occur with diverticulitis, it is not the primary symptom used to describe the pain associated with this condition.
Choice C rationale
Sudden onset of pain is not typically associated with diverticulitis. The pain from diverticulitis is usually constant and located in the lower left side of the abdomen.
Choice D rationale
Pain located in the right lower quadrant is more commonly associated with conditions such as appendicitis, not diverticulitis.

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A nurse is caring for a patient who has been diagnosed with end-stage liver cancer. Which statement by the patient indicates that the patient is in the denial phase of the grief process?

Nursing Test Bank

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Correct Answer is A

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A nurse is caring for a patient who has been diagnosed with end-stage liver cancer.
Which statement by the patient indicates that the patient is in the denial phase of the grief process?