A hospice nurse is performing a home visit for a client who is being cared for by their partner. Which of the following statements made by the partner indicates the partner is experiencing denial?
"I realize it can be hard to know what to expect at the moment my partner passes away."
"I have been taking pictures of others who visit with my partner so I can remember these days."
"I'm shocked everyone has lost hope that my partner will overcome this illness."
"I have been making arrangements so I can be at my partner's side when they pass away."
The Correct Answer is C
Rationale:
A. "I realize it can be hard to know what to expect at the moment my partner passes away.": This statement shows acknowledgment of the approaching death and emotional preparedness. It reflects acceptance and anticipatory grieving rather than denial.
B. "I have been taking pictures of others who visit with my partner so I can remember these days.": This indicates emotional awareness and an effort to preserve memories, suggesting the partner is coping and processing the impending loss.
C. "I'm shocked everyone has lost hope that my partner will overcome this illness.": This reflects denial, a common early grief reaction where the person struggles to accept the reality of impending death. The partner’s belief that recovery is still possible, despite the terminal prognosis, indicates difficulty facing the truth of the illness.
D. "I have been making arrangements so I can be at my partner's side when they pass away.": This demonstrates planning and emotional acceptance. The partner is preparing which reflects adaptive coping rather than denial.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Rationale:
A. Mottled skin: Mottling is typically a late sign of poor perfusion or approaching death and does not indicate pain. It reflects circulatory changes rather than discomfort requiring analgesia.
B. Constricted pupils: Constricted pupils may result from certain medications or neurological changes, but they are not a reliable indicator of pain. Pupillary changes alone do not guide pain management.
C. Restlessness: Restlessness is a common manifestation of pain in clients receiving palliative care, especially when verbal communication is limited. Administering prescribed pain medication can help alleviate discomfort and improve comfort.
D. Cheyne-Stokes respirations: This irregular breathing pattern occurs in advanced illness or near end-of-life and is not an indicator of pain. It reflects neurological or metabolic changes rather than discomfort requiring analgesia.
Correct Answer is C
Explanation
Rationale:
A. "Take your diuretic medication with your evening meal.": Taking diuretics in the evening can increase nocturia and exacerbate urinary incontinence. Diuretics are typically scheduled in the morning to minimize nighttime urination.
B. "Limit your fluid intake to 500 milliliters per day.": Severely restricting fluids can lead to dehydration and concentrated urine, which may irritate the bladder and worsen urge incontinence. Adequate hydration should be maintained while managing bladder habits.
C. "Plan to urinate every 3 hours while you are awake.": Scheduled voiding or bladder retraining involves establishing regular intervals for urination. Urinating every 2–3 hours helps the bladder gradually increase capacity and reduces episodes of urge incontinence by promoting control.
D. "Decrease your intake of cranberry juice.": Cranberry juice may acidify urine but is not a primary intervention for bladder retraining. Avoiding irritants like caffeine or alcohol is more relevant for managing urge incontinence.
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