Nurse’s note: Client body position slumped forward in chair, with head on bedside table, and no eye contact.

Client slow to verbally respond to Questions.

Vital signs noted, no change in condition at this time.

Denies any pain or discomfort at this time.

Requesting to speak to a chaplain at this time.

Which are included in the 5 stages of grief? (Select all that apply)

Choice A rationale
Academic pressure is a psychological stressor, not a physiological one. It involves mental or emotional strain or tension resulting from adverse or demanding circumstances, in this case, related to academic performance.
Choice B rationale
A burn injury is an example of a physiological stressor. Physiological stressors are related to physical or biological factors that strain the body’s resources. A burn injury places physical stress on the body as it tries to heal and recover.
Choice C rationale
Financial difficulties are a type of environmental stressor, not a physiological one. They involve external factors in a person’s environment that cause stress, such as financial problems or jobrelated stress.
Choice D rationale
A change in marital status is a type of psychosocial stressor, not a physiological one. It involves both psychological factors (such as emotions and behavior) and social factors (such as relationships and social interactions).

Choice A rationale
Fairness refers to treating all people equally and making decisions without favoritism or prejudice. This is not the most fitting answer because the scenario does not provide information about the nurse treating all patients equally.
Choice B rationale
Confidence in nursing involves trust in one’s abilities and clinical judgment. Although confidence is important in all nursing actions, this scenario does not specifically highlight the nurse’s confidence.

Choice C rationale
Advocacy in nursing refers to the nurse’s role in standing up for the rights and needs of their patient. While notifying the provider could be seen as a form of advocacy, the nurse’s actions in this scenario are more closely aligned with accountability.
Choice D rationale
Accountability in nursing refers to the responsibility of nurses to execute their duties according to standards, being answerable for their actions. In this scenario, the nurse demonstrates accountability by acknowledging the medication error, assessing the patient for any adverse effects, and reporting the incident.