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 {"A":{"answers":"A,B,C"},"B":{"answers":"B,C"},"C":{"answers":"A,B,C"},"D":{"answers":"A,B,C"}}
Explanation
Rationale:
• Edema: Swelling occurs in sprains, fractures, and dislocations due to tissue injury, inflammation, and bleeding into the surrounding area. It is a non-specific sign of trauma but indicates soft tissue or bony involvement.
• Sensation (tingling): Altered sensation is more commonly associated with fractures and dislocations because of nerve compression or injury near the affected bone or joint. Sprains typically do not involve neurological changes unless severe.
• Ecchymosis: Bruising occurs in sprains, fractures, and dislocations due to vascular injury from trauma. It helps localize the injury but cannot differentiate between soft tissue and bone involvement.
• Pain level (4/10): Pain is present in all three conditions. The intensity may vary depending on the severity of injury, but mild to moderate pain is expected in sprains, fractures, and dislocations.
Correct Answer is B
Explanation
Rationale:
A. Warm blood products prior to administration: While warming blood can prevent hypothermia during transfusion, ensuring airway patency takes priority in a trauma situation to maintain oxygenation and prevent respiratory compromise.
B. Establish a patent oral airway: Airway management is the first step in the ABCs (Airway, Breathing, Circulation) of emergency care. Securing a patent airway ensures oxygen delivery to vital organs, which is critical in a client with multiple traumatic injuries.
C. Assign the client a score on the Glasgow Coma Scale: Assessing neurological status is important, but it is secondary to establishing airway patency. A GCS score cannot help if the client is not oxygenating adequately.
D. Remove the client's clothing: Removing clothing allows a thorough assessment, but it does not take priority over securing the airway, which is essential to prevent hypoxia.
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