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 C

Explanation

A. and B. Both options involve getting the patient out of bed for specified periods during the day to prevent excessive sleep during the day and wakefulness at night. However, these options may not align with the patient's preferences and comfort.

C. This option respects the patient's autonomy and acknowledges his preference to remain in bed due to feeling tired and weak. It also recognizes that comfort is a priority in end-of-life care. The nurse will assess the patient's strength and desire to get out of bed but will permit him to remain in bed if he chooses, as that is his position of comfort.

D. Leaving the patient in bed while encouraging active exercises may be physically demanding for the patient and may not be appropriate, especially considering the patient's terminal condition and desire to remain in bed.

A. bargaining. B. acceptance. C. depression. D. yearning.

Correct Answer is B

Explanation

A. Bargaining: Bargaining is a stage in Kübler-Ross's model where the patient may attempt to negotiate with a higher power or medical professionals to change their fate. An increase in daily function is not typically associated with this stage.
B. Acceptance: In Kübler-Ross's model of the stages of grief, acceptance is the final stage. It is characterized by the patient coming to terms with their diagnosis and prognosis. When a terminal patient demonstrates an increase in the level of daily function, it can indicate that they have reached a state of acceptance. This means they have acknowledged their situation and are finding ways to live their life as fully as possible, despite their illness.

C. Depression: Depression is another stage in Kübler-Ross's model where the patient experiences feelings of sadness, hopelessness, and despair. While depression may occur at any point during the grieving process, an increase in daily function suggests movement beyond this stage.

D. Yearning: Yearning, also known as the stage of "pain and guilt" in Kübler-Ross's model, involves feelings of longing for what was lost or what cannot be. It is characterized by emotional distress and a desire to return to a previous state. An increase in daily function is not indicative of this stage.

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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

A terminal patient in a skilled nursing home has stated that he does not want to get out of bed, because he is too tired and weak to sit in a chair. He sleeps on and off all day and night, his position is changed every 2 hours, and he is comfortable on his pain regimen. The next day the nurse will:

Correct Answer is C

Explanation

When the nurse notes an increase in the level of daily function in the terminal patient, the nurse assesses that this patient has reached Kübler Ross's level of:

Correct Answer is B

Explanation

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

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