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 B

Explanation

A. "I will receive chemotherapy until most of the cancer is gone, and then I will get my own stem cells back.": This correctly describes the autologous transplant process, where the client receives high-dose chemotherapy followed by reinfusion of their own previously harvested stem cells. This approach avoids donor-related complications.
B. "I hope they find a bone marrow donor who matches.": This indicates a misunderstanding, an autologous transplant uses the client’s own stem cells, not donor cells. Mentioning a donor implies confusion with an allogeneic transplant and signals the need for further teaching.
C. "I will need to be in protective isolation for up to 3 months after treatment.": This is accurate because high-dose chemotherapy destroys immune cells, leaving the client highly susceptible to infection. Protective isolation helps reduce the risk of life-threatening opportunistic infections during recovery.
D. "The doctor will remove cells from my bone marrow before beginning chemotherapy.": This statement aligns with the autologous transplant protocol. Stem cells are collected before chemotherapy begins to preserve them for later reinfusion, once the high-dose treatment is complete.

A. Right extremity comparable in size to left B. No bleeding or bruising noted C. Right extremity pink D. Client denies pain E. Pedal pulse thready

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

Explanation

A. Right extremity comparable in size to left: Reduction in swelling indicates improved venous return and resolution of the thrombus. Symmetry between extremities suggests successful clot dissolution and reduced obstruction in the affected vein.
B. No bleeding or bruising noted: While this is a desirable side effect outcome, it is not a direct measure of thrombolytic effectiveness. Thrombolytics carry bleeding risk, but the absence of bruising doesn’t confirm clot resolution.
C. Right extremity pink: A pink, well-perfused extremity suggests adequate blood flow, which reflects successful reperfusion. This indicates improved circulation after clot breakdown and is a positive therapeutic result.
D. Client denies pain: Pain is a hallmark symptom of DVT due to inflammation and obstruction. Decreased or absent pain after thrombolytic therapy reflects clinical improvement and reduced clot burden.
E. Pedal pulse thready: A thready pulse may indicate decreased perfusion and is not a reassuring finding. Effective thrombolytic therapy should lead to strong, palpable pulses if circulation has improved.

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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 caring for a client is scheduled for chemotherapy followed by autologous stem cell transplant. Which of the following statements by the client indicates a need for further teaching?

Correct Answer is B

Explanation

The nurse is evaluating the expected outcomes following thrombolytic therapy for a right leg deep vein thrombosis. Which finding(s) confirms a positive outcome? Select all that apply.

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

Explanation

A client with heart failure reports not having had a bowel movement in 2 days. Why would it be important for the nurse to obtain a prescription for a stool softener?

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