The nurse is caring for a patient recently diagnosed with a terminal illness. The patient says, “There’s no way this is right. I’m going to get another opinion—this doctor doesn’t know what they’re talking about.” The nurse recognizes that the patient is in which stage of grief?
Bargaining
Denial
Anger
Depression
The Correct Answer is B
Choice A reason: Bargaining involves negotiating to alter the outcome, such as promising behavior changes to avoid loss. The patient’s rejection of the diagnosis reflects disbelief, not negotiation, aligning with denial, not bargaining, making this choice incorrect.
Choice B reason: Denial, the first stage of grief, involves refusing to accept a painful reality, like a terminal diagnosis. The patient’s insistence on another opinion reflects disbelief, a protective mechanism to avoid emotional distress, making this the correct choice.
Choice C reason: Anger involves frustration or resentment, often directed at others, like blaming the doctor. The patient’s statement focuses on disbelief, not hostility, aligning with denial rather than anger, making this choice incorrect for the described stage.
Choice D reason: Depression in grief involves sadness and despair over the loss. The patient’s rejection of the diagnosis indicates denial, not acceptance of the reality leading to sadness, making this choice incorrect for the current stage of grief.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["D","E"]
Explanation
Choice A reason: A crowded room creates distractions and compromises patient confidentiality, hindering open communication during a psychosocial assessment. Effective assessments require a private, calm environment to foster trust and focus, as external stimuli can exacerbate anxiety or disrupt emotional disclosure, making this choice incorrect.
Choice B reason: Avoiding eye contact can signal disengagement or discomfort, undermining the therapeutic alliance needed for a psychosocial assessment. Appropriate eye contact fosters trust and encourages patients to share sensitive information, as it reflects attentiveness and empathy, making this choice incorrect for an effective assessment environment.
Choice C reason: A television on for background noise introduces auditory distractions, reducing the patient’s ability to focus and share openly during a psychosocial assessment. A quiet environment is essential to ensure clear communication and minimize sensory overload, which can affect emotional regulation, making this choice incorrect.
Choice D reason: Adequate lighting creates a comfortable, non-threatening environment for a psychosocial assessment, allowing the nurse to observe nonverbal cues like facial expressions, which are critical for assessing emotional states. Proper lighting supports patient comfort and accurate observation, making this a correct choice for the assessment setting.
Choice E reason: A quiet and private area ensures confidentiality and minimizes distractions, fostering a safe space for patients to discuss sensitive psychosocial issues. This environment supports emotional disclosure and reduces anxiety, enabling accurate assessment of mental health status, making this a correct choice for effective assessments.
Correct Answer is A
Explanation
Choice A reason: Asking about a specific plan to hurt oneself is a critical closed-ended question to assess suicide risk in depression. It identifies intent and means, guiding immediate safety interventions, as suicidal ideation with a plan increases risk, making this the correct choice.
Choice B reason: Asking what helps the patient feel better explores coping strategies, not immediate safety. While useful for long-term management, it does not directly assess suicide risk, which is critical given the patient’s statement, making this choice less urgent.
Choice C reason: Inquiring about the duration of feelings provides context but does not directly assess immediate suicide risk. Understanding chronicity is secondary to evaluating intent and plans, which are critical for safety in depression, making this choice incorrect.
Choice D reason: Asking “why” explores the reasons for suicidal thoughts but is open-ended and less focused on immediate safety. Closed-ended questions about specific plans are more effective for rapid risk assessment in depression, making this choice incorrect.
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