A terminally ill patient is angry and belligerent. He yells at the nurses and his family for not coming quickly enough when he calls, and he states that he isn't receiving the care he needs. The nurse's most informative response would be:
"Don’t let him get away with this abuse. He doesn’t need to yell at you."
"I'm afraid he is having a bad day and feels neglected."
"This may be how he feels best in dealing with this illness. You'll just have to ignore it."
"Anger is a reaction that dying people experience. You may be feeling some anger yourselves."
The Correct Answer is D
A. "Don’t let him get away with this abuse. He doesn’t need to yell at you": This response is dismissive of the patient's emotions and fails to address the underlying issues causing the anger. It may escalate the situation and create conflict rather than fostering understanding and support.
B. "I'm afraid he is having a bad day and feels neglected": While this response acknowledges the patient's feelings, it does not provide a broader context for understanding the patient's behavior. It may also inadvertently minimize the patient's emotions and the impact of his terminal illness.
C. "This may be how he feels best in dealing with this illness. You'll just have to ignore it": This response dismisses the patient's behavior as acceptable without exploring its underlying causes. It does not promote therapeutic communication or help address the patient's needs and concerns.
D. "Anger is a reaction that dying people experience. You may be feeling some anger yourselves": This response acknowledges the patient's emotions as a common reaction to terminal illness, normalizing his experience. It also recognizes the emotions of the nurses and family, encouraging empathy and understanding. By validating the patient's feelings and providing context, the nurse can facilitate a supportive environment and promote effective communication and care.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A,D,E,B,C
Explanation
Sequence of Steps:
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A. Make sure the provider has certified the client’s death
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D. Verify client’s organ and tissue donation status
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E. Remove medical equipment from the client
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B. Cleanse the body while adhering to body fluid precautions
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C. Attach identification tags to the body
Correct Answer is A
Explanation
A. Anger: The statement reflects feelings of frustration, resentment, or hostility towards the company for their actions. This aligns with the stage of anger in Kübler-Ross's stages of dying, where individuals may experience anger towards others or the situation. In this case, the individual is expressing anger towards the company for causing harm or inconvenience.
B. Depression: Depression involves feelings of sadness, hopelessness, and despair. The statement does not directly express depressive symptoms but rather indicates a desire to take action against the company.
C. Denial: Denial is characterized by refusing to accept the reality of the situation. The statement does not indicate denial but rather acknowledges and reacts to the situation.
D. Bargaining: Bargaining involves attempting to negotiate or make deals to change the outcome of a situation. The statement does not suggest bargaining behavior but rather an intent to take legal action against the company.
E. Acceptance: Acceptance is characterized by coming to terms with one's impending death or loss. The statement does not reflect acceptance but rather a desire to address and rectify an issue caused by the company's actions.
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