A patient tells the nurse during an admission interview that his wife "went on to her reward." The nurse assesses that this statement is an indication that the patient:

Is no longer grieving the death of his wife.

Has a strong religious belief system.

Is uncomfortable with the term "death" and is using a euphemism.

Has dysfunctional grieving and is unable to address his wife's death.

Answer and Explanation

The Correct Answer is C

A. Is no longer grieving the death of his wife: This option makes an assumption about the patient's grief based solely on the choice of words used to describe his wife's passing. The patient's use of a euphemism does not provide enough information to determine the extent of his grieving process.

B. Has a strong religious belief system: While the patient's statement may suggest a belief in an afterlife or reward, it doesn't necessarily indicate the strength of his religious beliefs. Using euphemisms for death is common across various belief systems and cultural backgrounds.

C. Is uncomfortable with the term "death" and is using a euphemism: This is the correct response. The patient's choice of words, "went on to her reward," indicates a discomfort with directly stating "death." Euphemisms like this are often used as a coping mechanism to soften the reality of death or to adhere to cultural or personal preferences.

D. Has dysfunctional grieving and is unable to address his wife's death: There is no evidence in the scenario to suggest dysfunctional grieving. The patient's use of a euphemism does not necessarily indicate an inability to address his wife's death. It may simply reflect individual preferences or cultural norms regarding discussing death.

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Correct Answer is A

Explanation

A. Anger: The behavior of pushing others away and expressing hostility or frustration ("Go away, I don't want company") is indicative of the anger stage in Kübler-Ross's stages of dying. During this stage, individuals may experience feelings of resentment, frustration, or anger towards themselves, others, or their situation.

B. Acceptance: Acceptance involves coming to terms with one's own mortality and the reality of impending death. The behavior described does not reflect acceptance but rather resistance and refusal of company.

C. Bargaining: Bargaining involves attempting to negotiate or make deals to change the outcome of a situation. The behavior described does not reflect bargaining but rather a rejection of company.

D. Denial: Denial is characterized by refusing to accept the reality of one's impending death or the severity of one's condition. While the behavior described may involve avoidance or rejection, it is more indicative of anger than denial.

E. Depression: Depression involves feelings of sadness, hopelessness, and despair. While the behavior of pushing others away may result from feelings of depression, it is more specifically aligned with the anger stage, where hostility and frustration are prominent.

A. "Bringing on your death in this manner would be a subject you should discuss with your family and primary care provider." B. "Let me have a while to consider your request." C. "I cannot ethically give you a deliberate overdose." D. "I can contact the primary care provider and request an order for a drug that could be used as you request"

Correct Answer is C

Explanation

"Bringing on your death in this manner would be a subject you should discuss with your family and primary care provider" (Option A): While discussing end-of-life wishes with family and healthcare providers is important, this response does not directly address the ethical issue at hand. It may be appropriate to encourage open communication and advance care planning, but administering a deliberate overdose is not ethically permissible.

"Let me have a while to consider your request" (Option B): Delaying a response to the patient's request for deliberate overdose could potentially lead to confusion and distress for the patient. Additionally, this response does not address the ethical concerns raised by the request.

"I cannot ethically give you a deliberate overdose" (Option C): This response aligns with the ethical principle of nonmaleficence, which obligates healthcare providers to avoid causing harm to patients. Administering a deliberate overdose to hasten death would violate this principle and go against the nurse's ethical obligations.

"I can contact the primary care provider and request an order for a drug that could be used as you request" (Option D): This response suggests a willingness to facilitate the patient's request for deliberate overdose, which is not ethically permissible. Administering a drug with the intention of ending a patient's life is contrary to the ethical principles of beneficence and nonmaleficence.

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A patient tells the nurse during an admission interview that his wife "went on to her reward." The nurse assesses that this statement is an indication that the patient:

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Naxlex Comprehensive Predictor Exams

Directions: Correlate the behavior with KübIer-Ross's stages of dying from the choices below. "Go away, I don't want company. "

Correct Answer is A

Explanation

A terminal patient asks the nurse if he could be given a deliberate overdose of medication that would "end this." According to the Code for Nurses, the nurse's most ethical response would be:

Correct Answer is C

Explanation

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