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. A weight gain of 3 pounds in 24 hours indicates fluid retention, which can quickly progress to fluid overload, pulmonary edema, and heart failure. This is the priority finding to report.
B. Decreased muscle strength may occur due to electrolyte imbalance or fatigue but is not immediately life-threatening.
C. An elevated BUN is expected in chronic kidney disease and is not as urgent as acute fluid retention.
D. Bilateral 2+ pedal pulses are normal and do not require reporting.
Correct Answer is B
Explanation
A. A urine output of 750 mL/24 hr is low (oliguria) but not immediately life-threatening compared to electrolyte imbalances.
B. A potassium level of 5.2 mEq/L is slightly above normal and indicates hyperkalemia risk, which can progress rapidly to life-threatening cardiac dysrhythmias. This client is the highest priority for immediate assessment and intervention.
C. Depression is important but not the immediate priority in an acute setting compared to unstable lab values.
D. A scheduled dialysis client may be stable until treatment; the elevated potassium requires faster intervention.
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