The home health nurse is caring for a client who was recently diagnosed with advanced pancreatic cancer. Which statement best indicates that the client is experiencing the anger phase of grief?
"God cannot possibly be good if people are allowed to get this horrible disease."
"The test results must be mixed up with someone else's. I feel better now."
"I just want to get better. A friend of mine had success with a plant-based diet."
"I've made peace with everyone, and I'm actually ready to move on."
The Correct Answer is A
A. This statement reflects anger, directed toward God, life, or the situation itself. In the anger phase of grief, clients often express frustration, blame, or resentment.
B. This reflects denial, as the client is refusing to accept the accuracy of the diagnosis.
C. This reflects bargaining, as the client is hoping that by making lifestyle changes, the illness can be reversed.
D. This reflects acceptance, as the client has made peace with the diagnosis and is preparing emotionally for death.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Individuals with a small body frame and those of female biologic sex are at higher risk for osteoporosis. Women are particularly vulnerable after menopause due to decreased estrogen, which accelerates bone loss.
B. Prolonged use of corticosteroids (e.g., prednisone), not ibuprofen, is a significant risk factor for osteoporosis. NSAIDs like ibuprofen do not typically contribute to bone density loss.
C. Male sex is generally protective compared to female sex, and diabetes is not considered a primary risk factor. While nutrition does play a role, high protein intake does not directly cause osteoporosis; instead, low calcium and vitamin D intake are more concerning.
D. Low estrogen levels (not elevated) contribute to osteoporosis, especially in postmenopausal women. Increased body mass can actually provide some protective effect on bone density due to higher weight-bearing stress on bones.
Correct Answer is C
Explanation
A. Moderate wine consumption is not a contributing factor to knee pain, swelling, or crepitus.
B. Acetaminophen is commonly used for pain relief and does not cause joint damage or inflammation.
C. A BMI of 33 indicates obesity, which increases stress and mechanical load on weight-bearing joints such as the knees. This can lead to early onset of osteoarthritis, presenting with swelling, pain, and crepitus.
D. Being of childbearing age is not a risk factor for joint degeneration or knee crepitus
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