A client has been recently diagnosed with terminal cancer. The client states, "This cannot be happening to me." The nurse identifies that the client is in what stage of grieving process?

D. This response validates the client's feelings without making assumptions, allows the client to share more about their experience, and fosters a supportive environment. It's important for healthcare professionals to create a space where clients feel heard and understood, especially during times of grief and new diagnoses, which can be overwhelming.
A. It acknowledges the client's feelings while also expressing the nurse's understanding of the grieving process. It reassures the client that they are not alone in their experiences, even if the nurse hasn't experienced the exact situation. However, telling the client that you know what they are going through may not make them feel understood.
B. While this response acknowledges the client's grief, it may come across as minimizing or dismissive of their current emotional distress related to their diabetes diagnosis. It focuses solely on the loss of the spouse and doesn't address the client's immediate concerns about managing their newly diagnosed condition. Therefore, it may not be the most therapeutic response in this situation.
C. This response might unintentionally invalidate the client's feelings by suggesting they should distract themselves from their grief and diabetes diagnosis. It could be perceived as dismissive or insensitive, as it doesn't address the client's emotional needs or offer support. Additionally, suggesting distraction may not be helpful or appropriate for someone experiencing significant emotional distress.

D. Calling the prescribing physician to clarify the order is the most appropriate action in this situation. Direct communication with the physician allows the nurse to express concerns, seek clarification, and ensure that the medication order is appropriate and safe for the client.
A. Administering a medication at a higher than recommended dose could potentially harm the client and is not in line with safe medication administration practices. It's essential to follow the established guidelines and recommendations for medication dosing to avoid adverse effects or complications.
B. Holding the ordered dose and documenting the rationale is an appropriate initial action. This allows the nurse to pause the administration of the medication, prevent potential harm to the client, and provide a clear record of the decision-making process. Holding the dose also provides an opportunity for further clarification with the prescribing physician.
C. While reporting a mistake to the pharmacy is important, it may not be the most immediate action to take when dealing with a higher than recommended dose of medication. Direct communication with the prescribing physician is necessary to clarify the order and ensure appropriate action is taken promptly.