When the patient says, "l can die happily if I can live long enough to see my first grandchild that will be born next month." The nurse assesses that this patient is experiencing Kübler Ross's stage of:

bargaining.

anger.

denial.

depression.

Answer and Explanation

The Correct Answer is A

The patient's statement reflects the stage of bargaining in Kübler-Ross's model of the five stages of grief and dying. During the bargaining stage, individuals may negotiate with a higher power or express desires to postpone or mitigate the inevitable outcome, such as death. In this case, the patient is expressing a wish to live long enough to witness the birth of their first grandchild, indicating a form of negotiation or bargaining with fate or circumstances.

A. Bargaining: Bargaining is characterized by attempts to negotiate or make deals in an effort to postpone or change the outcome of a situation, often involving a plea for more time or specific circumstances. The patient's statement about wanting to live long enough to see their first grandchild born exemplifies this stage, as they are expressing a desire to prolong their life to experience a significant event.

B. Anger: Anger involves feelings of frustration, resentment, or rage directed towards oneself, others, or the situation. The patient's statement does not reflect anger but rather a hopeful desire to witness a significant life event, indicating a different stage of grieving and acceptance.

C. Denial: Denial involves refusing to accept the reality of a situation or diagnosis, often accompanied by disbelief or avoidance of the truth. The patient's statement does not suggest denial, as they are acknowledging their impending death but expressing a desire for a specific experience before it occurs.

D. Depression: Depression in the context of Kübler-Ross's model involves feelings of sadness, hopelessness, and withdrawal in response to the impending loss or death. While the patient's statement may evoke emotions related to the significance of the event, it does not necessarily reflect depression as the primary stage of grief being experienced. Instead, it aligns more closely with bargaining, as the patient is expressing a desire for a particular outcome before facing death.

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Correct Answer is C

Explanation

A. Bereavement: Bereavement refers to the period of mourning and adjustment that follows the loss of a loved one. It encompasses the range of emotions and behaviors experienced after a death.

B. Depression: Depression is a mood disorder characterized by persistent feelings of sadness, hopelessness, and loss of interest or pleasure in activities. While grief can manifest as symptoms of depression, they are distinct concepts.

C. Grief: Grief is the emotional response to loss, encompassing a range of feelings such as sadness, anger, guilt, and despair. It is a natural and adaptive reaction to the death of a loved one or other significant losses.

D. Sadness: Sadness is a transient emotional state characterized by feelings of sorrow, unhappiness, or low spirits. While sadness is often a component of grief, grief involves a broader range of emotional responses to loss.

A. Do not force the client to stay awake B. Administer pain medication by rectal or transdermal when client can no longer swallow C. Position the client on her side D. Offer to turn and reposition client every 2 hours

Correct Answer is ["A","B","C","D"]

Explanation

A. Do not force the client to stay awake: Palliative care focuses on providing comfort and dignity to the patient, and forcing the client to stay awake would not align with this goal. Allowing the client to rest as needed is essential for maintaining comfort during the end-of-life process.

B. Administer pain medication by rectal or transdermal when client can no longer swallow: As the client approaches death, they may lose the ability to swallow oral medications. Administering pain medication rectally or via transdermal patches ensures that the client continues to receive adequate pain relief even when oral intake is no longer possible.

C. Position the client on her side: Positioning the client on her side helps prevent aspiration if there is vomiting and promotes comfort by reducing pressure on bony prominences. This position also facilitates effective airway management and can help alleviate respiratory distress.

D. Offer to turn and reposition client every 2 hours: Turning and repositioning can help prevent pressure ulcers and maintain skin integrity, during the terminal stage of illness. The frequency of turning and repositioning may be adjusted based on the client's comfort and clinical condition.

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When the patient says, "l can die happily if I can live long enough to see my first grandchild that will be born next month." The nurse assesses that this patient is experiencing Kübler Ross's stage of:

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The emotional feeling of pain and loss is known as

Correct Answer is C

Explanation

A nurse is providing palliative care to a client who is receiving hospice care and is approaching death. Which of the following actions should the nurse take? (Select all that apply.)

Correct Answer is ["A","B","C","D"]

Explanation

The nurse is aware that in order to provide effective support to grieving patients and families, the nurse must?

The nurse can assess Cheyne-Stokes respiration by its characteristics of respirations that are:

A hospice nurse is caring for a client who is approaching death and has fecal incontinence. Which of the following actions should the nurse take?

The relief of symptoms when a cure is no longer possible is known as:

A hospice patient is unable to tolerate food or fluids and has advance directives that indicate that he does not want IV fluids or tube feedings if he is unable to take oral feedings. His family is concerned that he will be very uncomfortable without food or fluids. The nurse should tell them that:

Directions: Correlate the behavior with Kübler-Ross's stages of dying from the choices below. "She's not that sick!"

A nurse is caring for a client who has been diagnosed with end-stage liver cancer. Which of the following statements by the client indicates that the client is in the denial phase of the grief process?