During a follow-up visit, a female patient is describing new onset of marital discord with her terminally ill spouse to the hospice nurse. Which Kübler-Ross stage of dying is the patient experiencing?
Depression
Denial
Bargaining
Anger
The Correct Answer is D
Choice A reason: Depression in Kübler-Ross’s stages involves sadness and withdrawal due to loss. Marital discord suggests conflict, not introspective grief. The patient’s relational tension with her terminally ill spouse aligns with anger, not depression, which would manifest as despair or hopelessness rather than active discord.
Choice B reason: Denial involves refusing to accept the reality of death, often early in the dying process. Marital discord indicates engagement with the situation, not avoidance. The patient’s conflict suggests emotional reaction, aligning with anger, not denial, making this an incorrect stage for her behavior.
Choice C reason: Bargaining involves seeking to delay death through promises or deals, often privately. Marital discord reflects externalized emotion, not negotiation. The patient’s conflict with her spouse points to anger, not bargaining, which is less likely to manifest as relational tension, making this incorrect.
Choice D reason: Anger, per Kübler-Ross, involves frustration and resentment, often directed at loved ones, as the patient grapples with mortality. New marital discord with her terminally ill spouse suggests the patient is expressing anger, a common reaction to the unfairness of death, making this the correct stage.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A reason: Non-Hispanic Blacks are projected to grow, but their growth rate is slower than Hispanics due to lower birth rates and immigration patterns. By 2060, they will remain a significant group, but demographic data indicate they will not outpace Hispanics, making this incorrect for the fastest-growing ethnic group.
Choice B reason: Multiracial individuals are increasing due to intermarriage, but their growth rate is lower than Hispanics. Projections show they will form a smaller population share by 2060 compared to Hispanics, driven by high birth rates and immigration. This choice is incorrect, as it underestimates Hispanic growth trends.
Choice C reason: Asians are a fast-growing group due to immigration, but their growth rate is surpassed by Hispanics, who benefit from both immigration and higher fertility rates. By 2060, Asians will increase significantly, but demographic forecasts confirm Hispanics as the fastest-growing group, making this choice incorrect.
Choice D reason: Hispanics are projected to be the fastest-growing racial/ethnic group by 2060, driven by high birth rates, immigration, and a younger population. Census projections estimate they will account for nearly 30% of the US population, surpassing other groups in growth rate due to demographic trends, making this the correct choice.
Correct Answer is A
Explanation
Choice A reason: Intersectionality examines how overlapping identities (e.g., race, gender, socioeconomic status) shape unique experiences of health and care. Focusing on experiences allows nurses to address disparities and tailor interventions, ensuring equitable care. This approach recognizes systemic factors, critical for understanding patients’ barriers and needs in diverse healthcare contexts.
Choice B reason: Focusing on illness alone overlooks intersectionality’s emphasis on how social identities shape health experiences. Illness is a clinical factor, not a social construct like race or class. This narrow focus risks missing systemic inequities, reducing care effectiveness for patients with complex social determinants influencing their health outcomes.
Choice C reason: Values are personal beliefs, not the primary focus of intersectionality, which examines social identities and systemic inequities shaping experiences. Prioritizing values risks ignoring structural factors like discrimination, limiting the nurse’s ability to address disparities and provide culturally sensitive care critical for patients from marginalized backgrounds.
Choice D reason: Health is an outcome, not the focus of intersectionality, which explores how identities like ethnicity or gender create unique experiences of care access and treatment. Focusing on health alone misses social determinants, risking generic care that fails to address inequities, critical for equitable nursing practice in diverse populations.
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