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 C
Explanation
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.
Correct Answer is A
Explanation
A. Listening attentively when the client talks about the past allows the nurse to provide emotional support and validation for the client's feelings of grief. It demonstrates empathy and encourages the client to express their emotions, which can be therapeutic.
B. Telling the client that feelings of grief are a common problem of the aging population may invalidate the client's individual experience and minimize their feelings. Each person's experience of grief is unique, and acknowledging this is important for effective support.
C. Providing activities to distract the client from dwelling on the past may temporarily divert attention but does not address the underlying feelings of grief. Encouraging avoidance of emotions may hinder the client's ability to cope effectively.
D. Comparing the client's experience to that of younger clients who have experienced loss may not be helpful and could potentially minimize the significance of the client's feelings. It is important to focus on the individual client's experience and provide personalized support.
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