Use Case Study #1 to answer the question
Exhibit 1
Ann Martin is a 55-year-old patient who was diagnosed with lung cancer 3 years ago and had been treated with surgery and chemotherapy. Two weeks ago, she had a computed tomography scan that showed progressive spread of the cancer and today she has come into the outpatient cancer clinic to begin a new round of chemotherapy. She is accompanied by her 78-year-old mother. Dorothy. Ann is divorced and has three children who all live out of town. Sarah Stone is the nurse who has been assigned to Ann. Sarah has worked at the clinic for 2 years and enjoys it very much. Her sister died from breast cancer recently. Sarah will be seeing Ann on each visit to the clinic. Two weeks later. Ann returns to the clinic for a checkup. At her last oncology appointment, she learned that the cancer had further metastasized and that her prognosis was poor.
Ann tells Sarah that she prays she can live until her daughter has a baby in 6 months. Sarah knows that this is which stage of the dying process?
depression
denial
acceptance
bargaining
The Correct Answer is D
A. Depression
Characterized by sadness, withdrawal, and despair-not present in this scenario.
B. Denial
Usually occurs earlier, when the patient refuses to accept the diagnosis.
C. Acceptance
Acceptance involves a peaceful readiness to die. Hoping to "live longer" suggests she hasn’t reached this stage.
D. Bargaining
Bargaining includes attempts to postpone death, often by making deals with a higher power (e.g., “let me live until my grandchild is born”).
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Regression is reverting to earlier developmental behaviors during stress (e.g., bedwetting).
B. Conversion is the transformation of psychological stress into physical symptoms (e.g., blindness, paralysis).
C. Compensation is making up for perceived weaknesses by emphasizing strengths.
D. Identification involves adopting the characteristics of someone else.
Correct Answer is B
Explanation
A. Move to a room next to nurses station – Likely to increase noise and disrupt sleep.
B. Get ready for sleep at same time each night – Promotes a stable sleep-wake routine.
C. Play TV while client sleeps – Blue light and noise may worsen sleep quality.
D. Encourage 1-hour nap – Long naps may interfere with nighttime sleep in older adults.
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