The patient concentrates on the mind numbing details of the spouses funeral to delay dealing with the overwhelming pain of the loss period which stage of grief is currently being experienced by the patient?

anger

depression

denial

bargaining

Answer and Explanation

The Correct Answer is C

A. Anger: Anger involves frustration or hostility, usually directed at self, others, or even the deceased. This scenario lacks any expression of anger.

B. Depression: Depression includes deep sadness and hopelessness. The focus here is on avoiding emotions, not being overwhelmed by them.

C. Denial: The patient is focusing on the logistical aspects of the funeral to avoid confronting the emotional pain. This is a classic sign of denial-a defense mechanism used to block distress.

D. Bargaining: Bargaining involves making deals or "what if" scenarios (e.g., "If only I had..."). There’s no evidence of that here.

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Correct Answer is A

Explanation

A. Discuss ways to adapt to a new body image so the patient will be comfortable in resuming intimacy:
Helping the patient process body image changes is the first step in restoring confidence and comfort in sexual activity.

B. Inform the patient about a support group for people with colostomies:
While support groups are helpful, this is not the initial step in addressing emotional and sexual concerns.

C. Teach the patient about intimate activities that can be done to incorporate the ostomy:
This comes later, once the patient is ready to explore intimacy options.

D. Reassure the patient that lots of people resume sex the same week the colostomy is placed:
This may minimize the patient's feelings and is likely unrealistic or unhelpful.

A. “This is not working, and I plan to stop treatment.” B. “I am hoping this will help relieve my discomfort.” C. “I am thinking of getting a second opinion.” D. “This is making me stronger every day.”

Correct Answer is B

Explanation

A. “This is not working, and I plan to stop treatment.”: This shows frustration but not necessarily understanding or acceptance of prognosis.

B. “I am hoping this will help relieve my discomfort.”: This statement reflects the goal of palliative care, which is comfort-focused, and shows understanding of the approach.

C. “I am thinking of getting a second opinion.”: Suggests continued hope for a cure, not acceptance.

D. “This is making me stronger every day.”: Indicates a misunderstanding of the intent of palliative care, which is not curative.

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The patient concentrates on the mind numbing details of the spouses funeral to delay dealing with the overwhelming pain of the loss period which stage of grief is currently being experienced by the patient?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Correct Answer is A

Explanation

A nurse is caring for a client who has cancer and is receiving palliative care. Which of the following statements should the nurse identify as an indication that the client understands and accepts his prognosis?

Correct Answer is B

Explanation

Which nursing intervention can cause an unsafe sleeping environment for the hospitalized patient?

Which assessment is most important to determine if a patient is receiving sufficient sleep?

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