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. "Remove a plug from the socket by pulling the cord.": Pulling a plug out by the cord can damage the wiring and expose live electrical components, increasing the risk of electric shock or fire. The plug should always be removed by grasping the base of the plug itself to ensure safety.
B. "Check for a tingling sensation around the cord.": A tingling sensation indicates faulty wiring or electrical leakage, which poses a serious safety hazard. Rather than checking for it, individuals should immediately stop using any cord that gives off a tingling sensation and report or replace it.
C. "Use three-pronged grounded plugs.": Grounded plugs provide an essential safety feature by redirecting excess electrical current safely into the ground. This reduces the risk of electrical fires and shocks, especially in appliances with metal casings or high power consumption.
D. "Cover extension cords with a rug.": Covering cords traps heat, prevents adequate ventilation, and increases the risk of overheating and fire. Extension cords should remain uncovered and placed in areas where they will not be walked on or damaged.
Correct Answer is D
Explanation
Rationale:
A. "Dehydration is caused by a decreased hemoglobin and hematocrit.": Dehydration typically results in increased, not decreased, hemoglobin and hematocrit values because fluid loss concentrates red blood cells. Low values would suggest anemia or blood loss rather than dehydration.
B. "Dehydration is associated with gastroesophageal reflux.": While dehydration may worsen nausea or fatigue, it is not directly linked to gastroesophageal reflux. GERD in pregnancy is usually caused by hormonal relaxation of the lower esophageal sphincter and increased intra-abdominal pressure from the enlarging uterus.
C. "Dehydration is treated with calcium supplements.": Calcium supplements are unrelated to treating dehydration. Management focuses on restoring fluid balance through oral or intravenous hydration to maintain uteroplacental perfusion and reduce uterine irritability.
D. "Dehydration can increase the risk for preterm labor.": Dehydration leads to increased secretion of antidiuretic hormone (ADH), which can stimulate oxytocin release and uterine contractions. Correcting dehydration helps reduce uterine activity and lowers the risk of preterm labor in pregnant clients.
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