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 D
Explanation
A. Rational: This is not a classification of stressors.
B. Maturational: Maturational stressors relate to developmental stages, such as adolescence or aging.
C. Developmental: These involve life transitions like starting school or retiring.
D. Sociocultural: Lack of health insurance and unequal treatment are sociocultural stressors, as they relate to societal and cultural factors affecting health.
Correct Answer is A
Explanation
A. "I will avoid drinking large amounts of fluids immediately before bedtime.":
This prevents nighttime awakenings for urination, which improves sleep continuity.
B. "I will walk briskly for 30 minutes before bedtime.":
Exercise is beneficial, but should be completed at least 2–3 hours before bedtime to avoid stimulation.
C. "I will limit having a glass of wine to just before bedtime.":
Alcohol may promote sleep initially but disrupts sleep later in the night and reduces sleep quality.
D. "I will do my muscle relaxation techniques in the afternoon.":
Relaxation techniques are most effective when done before bedtime to promote sleep readiness.
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