Which statement, made by the nurse, can be most helpful when caring for a client in the third stage of Kubler-Ross' emotional reactions to dying?

"What makes you most angry about getting the disease?"

"Let's review the laboratory results and compare them with the diagnostic tests."

"I understand that it would be wonderful to see your daughter's graduation."

"I like your idea of living for today and enjoying those around you."

Answer and Explanation

The Correct Answer is C

A. "What makes you most angry about getting the disease?": This response aligns with the anger stage, which is the second stage in the Kübler-Ross model. It helps validate frustration but is not appropriate in the bargaining phase. At this point, the client is more focused on negotiating for more time or outcomes. Encouraging anger expression may be less helpful now.
B. "Let's review the laboratory results and compare them with the diagnostic tests.": This is a logical, data-focused statement that doesn’t address the client’s emotional needs. During bargaining, clients are seeking emotional reassurance and often making "if only" or "I wish" statements. Reviewing labs lacks therapeutic value in this emotional stage.
C. "I understand that it would be wonderful to see your daughter's graduation.": This statement acknowledges a common bargaining response — hoping to live long enough for an important event. It reflects empathy and connects with the client's emotional state. Supporting these goals helps the client feel heard and validated during this stage.
D. "I like your idea of living for today and enjoying those around you.": This statement reflects the mindset seen in the acceptance stage of grief. While it promotes positivity, it does not resonate with the bargaining phase, where clients are still negotiating with fate or a higher power. It may feel dismissive of the client’s current emotional struggle.

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Correct Answer is C

Explanation

A. Let your feelings of anger out so you can resolve the issues before they cause illness:
While expressing anger is important, simply "letting it out" without control can lead to aggression or harmful interactions. Venting without resolution may not lead to effective emotional processing.
B. Use physical exercise to channel your anger in another direction: Physical activity can help manage anger, but this only addresses symptoms, not the underlying causes or unhealthy expression patterns. It is a useful strategy but not the most comprehensive answer.
C. Suppressing anger and excessively expressing anger can negatively affect the body: Both unexpressed and overly intense anger responses can lead to physiological stress, such as hypertension or cardiac strain. Healthy anger management involves balanced emotional awareness and controlled expression.
D. Eliminate the sources of stress causing anger from your lifestyle: Completely removing stressors is often unrealistic. A more effective approach involves learning coping strategies and emotional regulation rather than expecting to avoid all triggers.

A. To teach how to manage alcohol use B. To provide support for a lifelong addiction C. To prevent relapse from occurring D. To help the client meet other people who have been successful in treatment.

Correct Answer is B

Explanation

A. To teach how to manage alcohol use: AA does not focus on teaching moderation or controlled drinking. Its philosophy promotes complete abstinence and spiritual growth as a foundation for recovery.
B. To provide support for a lifelong addiction: AA offers ongoing, peer-led support and accountability, which is crucial for managing alcohol use disorder long term. It helps individuals maintain sobriety through shared experiences and regular meetings.
C. To prevent relapse from occurring: While AA participation can reduce the likelihood of relapse, it is not a guaranteed prevention method. It is part of a broader recovery plan that includes coping strategies, support, and lifestyle changes.
D. To help the client meet other people who have been successful in treatment: AA does foster social connection, but its primary purpose is to support individuals in recovery, not just to introduce them to others. The program focuses on mutual aid and the 12-step framework.

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Which statement, made by the nurse, can be most helpful when caring for a client in the third stage of Kubler-Ross' emotional reactions to dying?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is instructing a client in a physician's office. Which instruction is most accurate when advising the client on the feelings of anger?

Correct Answer is C

Explanation

The client has successfully completed detox and is ready for discharge home. What is the primary reason the nurse refers the client to Alcoholics Anonymous (AA)?

Correct Answer is B

Explanation

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