A family is informed that the brain damage to their daughter is irreversible. The father is later overheard making vacation plans and discussing what the family will do when his daughter leaves the hospital. The nurse recognizes the father is in which crisis stage?

Denial

Reconciliation

High anxiety

Adaptation

Answer and Explanation

The Correct Answer is A

A. Denial: Denial is a common initial reaction to bad news, where the individual is unable to accept the reality of the situation. The father's planning for the future as if his daughter will recover is indicative of denial.
B. Reconciliation: Reconciliation is not typically used as a term to describe a stage of grief or crisis response. It usually refers to the process of making peace with a situation, which does not fit the father's current behavior.
C. High anxiety: High anxiety would likely manifest as visible stress, agitation, or frantic behavior, not the calm and hopeful planning described.
D. Adaptation: Adaptation involves adjusting to a new reality and moving forward. The father's behavior suggests he has not yet accepted the reality of his daughter's condition, which rules out adaptation.

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Correct Answer is B

Explanation

A. "What we say can be secret. What I write in the chart is available to the health team." This response lacks clarity about legal and ethical obligations.
B. "I am required to report any intent to hurt yourself or others." This response clearly communicates the legal and ethical obligation to protect the patient and others from harm, while also acknowledging the importance of patient confidentiality in other situations.
C. "Conversations between patient and nurse are confidential." This is true, but it does not address exceptions such as harm to self or others.
D. "I can't help you unless you trust me." This does not address the patient's concerns about confidentiality directly.

A. Overflow incontinence B. Functional incontinence C. Urge incontinence D. Stress incontinence

Correct Answer is D

Explanation

A. Overflow incontinence. Overflow incontinence occurs when the bladder does not empty properly, leading to frequent or constant dribbling. It is not typically triggered by physical activities like sneezing.
B. Functional incontinence. Functional incontinence is due to physical or cognitive impairments that prevent a person from reaching the bathroom in time, rather than a physiological issue with the bladder or urethra.
C. Urge incontinence. Urge incontinence involves a sudden, intense urge to urinate followed by involuntary loss of urine. It is not typically triggered by physical activities like sneezing.
D. Stress incontinence. Stress incontinence occurs when there is involuntary leakage of urine during physical activities that increase abdominal pressure, such as sneezing, coughing, or exercising.

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A family is informed that the brain damage to their daughter is irreversible. The father is later overheard making vacation plans and discussing what the family will do when his daughter leaves the hospital. The nurse recognizes the father is in which crisis stage?

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Correct Answer is B

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Correct Answer is D

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