The nurse is assessing a client recently diagnosed with terminal lung cancer who states, "This can't be happening to me. Maybe the doctor made a mistake." Which stage of death and dying is the client exhibiting?

Bargaining

Depression

Anger

Denial

Answer and Explanation

The Correct Answer is D

A. Bargaining: This stage involves attempting to negotiate or make deals, often with a higher power, in hopes of delaying or reversing the outcome. The client’s statement does not reflect this behavior.

B. Depression: This is a deeper emotional stage where the person begins to feel the true weight of their diagnosis. It may involve withdrawal, sadness, or hopelessness—not disbelief.

C. Anger: Anger manifests as frustration or resentment towards others or the situation. The client is not showing anger but rather disbelief.

D. Denial: Denial is the initial stage of grief where the client refuses to accept the reality of the diagnosis, often expressing disbelief or shock as a coping mechanism to protect themselves emotionally.

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Correct Answer is B

Explanation

A. types and amounts of food eaten: While diet can influence drug absorption and metabolism, it does not provide specific insight into the potential for direct drug interactions compared to substances like supplements.

B. use of herbal supplements: Herbal products can interact with prescribed medications, either enhancing or diminishing their effects, and may pose significant safety risks if not disclosed and considered in care planning.

C. the effects of prescribed medications: Understanding a drug's effects is important for evaluating efficacy and side effects, but it does not directly assess the risk of interaction with other substances.

D. daily amount of intake and output: This is useful for monitoring fluid balance and organ function but does not contribute to identifying possible drug interactions.

A. Receptive aphasia B. Expressive aphasia C. Dysphagia D. Global aphasia

Correct Answer is B

Explanation

A. Receptive aphasia: Involves difficulty understanding spoken or written language. Individuals with this condition may speak fluently but their responses may be inappropriate due to misinterpretation of what is being said to them.

B. Expressive aphasia: Characterized by difficulty expressing thoughts through speech or writing, even though comprehension remains intact. In this case, the patient understands the question but cannot verbalize the response indicating a challenge with verbal expression.

C. Dysphagia: Refers to difficulty swallowing and is unrelated to language processing or speech production. It does not affect a person's ability to communicate their needs.

D. Global aphasia: A severe form of aphasia involving both receptive and expressive language deficits. Individuals with global aphasia typically have very limited ability to speak or understand language.

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The nurse is assessing a client recently diagnosed with terminal lung cancer who states, "This can't be happening to me. Maybe the doctor made a mistake." Which stage of death and dying is the client exhibiting?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is conducting an interview for a health history. In addition to asking the client about medications being taken, what else should be asked to assess the risk for drug interactions?

Correct Answer is B

Explanation

During rounds a client is having difficulty telling the nurse what they need. The nurse asks her to show her what she needs. The patient points to the bathroom door, signifying she needs to use the restroom. What type of language difficulty is this patient experiencing?

Correct Answer is B

Explanation

The nursing care for a patient with hyponatremia and fluid volume excess includes:

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