A nurse is caring for a client diagnosed with end-stage liver cancer. Which response is an indication the client is in the denial phase of the grief process?
“The doctor says I only have a few months to live, but I know he is exaggerating to get me to take my medication.”
“I can’t believe the doctor graduated from medical school. He doesn’t know a thing about treating cancer!”
“Even though I am not hurting right now, I don’t feel like I have the energy to get out of bed.”
“The doctor has been so good to me. I know he has tried everything he can. It is just my time.”
The Correct Answer is A
Choice A reason: This statement reflects denial, which is a common initial reaction in the grief process. The client is not accepting the reality of their prognosis and believes the doctor is exaggerating. Denial serves as a defense mechanism to protect the individual from the emotional impact of the diagnosis. It is a way for the client to cope with the overwhelming news by rejecting its truth.
Choice B reason: This statement reflects anger, another stage in the grief process. The client is expressing disbelief and frustration towards the doctor’s competence. Anger often follows denial and is directed towards others as a way to cope with the emotional pain. It is not indicative of denial but rather a progression in the grieving process.
Choice C reason: This statement reflects acceptance of the physical symptoms and the reality of the client’s condition. The client acknowledges their lack of energy and the impact of the illness on their daily life. This is not a sign of denial but rather an acceptance of their current state.
Choice D reason: This statement reflects acceptance and gratitude towards the doctor. The client recognizes the efforts made by the healthcare team and accepts that their time is limited. This is a sign of acceptance, the final stage in the grief process, where the individual comes to terms with their situation.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A reason: Consulting the family priest may provide spiritual support and guidance to the family, but it is not the most appropriate action for resolving a medical and ethical dilemma. The family priest may not have the necessary medical or ethical expertise to address the complexities of the situation
Choice B reason: The ethics committee is the appropriate body to consult in this situation. Ethics committees are composed of healthcare professionals, ethicists, and legal advisors who can provide guidance on complex ethical issues. They can help navigate the conflict between the parents’ religious beliefs and the medical necessity of the blood transfusion for the newborn. The committee can also ensure that the hospital’s actions align with legal and ethical standards.
Choice C reason: The Joint Commission is an accrediting body for healthcare organizations and does not provide direct assistance in individual patient care situations. While the Joint Commission sets standards for ethical practices, it is not involved in resolving specific ethical dilemmas at the patient level.
Choice D reason: The blood bank is responsible for the collection, testing, and distribution of blood products. While they can provide information about blood transfusions, they are not equipped to handle ethical conflicts related to the refusal of blood transfusions on religious grounds. The ethics committee is better suited for this role.
Correct Answer is C
Explanation
Choice A reason: Apple juice is an appropriate choice for a full liquid diet. It is a clear liquid that provides hydration and some nutrients without putting strain on the digestive system. Apple juice is easily digestible and does not contain any solid particles that could be problematic for a client recovering from abdominal surgery.
Choice B reason: Smoothies can be included in a full liquid diet as long as they are well-blended and do not contain any solid chunks. Smoothies can provide essential nutrients and calories, which are important for recovery. They can be made with fruits, vegetables, and protein supplements to ensure a balanced intake.
Choice C reason: Mashed potatoes and gravy are not suitable for a full liquid diet. Although mashed potatoes are soft, they are not liquid and can be difficult to digest for someone on a full liquid diet. The gravy may also contain small particles or thickeners that are not appropriate for this diet. A full liquid diet is intended to include only foods that are completely liquid or will turn to liquid at room temperature.
Choice D reason: Chicken broth is an excellent choice for a full liquid diet. It is a clear liquid that provides hydration and some nutrients without adding any solid particles to the diet. Chicken broth is gentle on the digestive system and can help maintain electrolyte balance.
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