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. 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.
Correct Answer is B
Explanation
A. 12 hours: This amount of sleep is excessive for a young adult and more typical for infants or toddlers.
B. 8 hours: The National Sleep Foundation recommends that young adults (18–25 years) get 7–9 hours of sleep, with 8 being the average.
C. 11 hours: Too much for a healthy young adult; this may indicate a sleep disorder if needed regularly.
D. 14 hours: This amount is seen in newborns, not adults.
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