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 B
Explanation
Rationale:
A. Diabetes mellitus: Diabetes is not a direct contraindication or risk factor for complications from electroconvulsive therapy (ECT). Blood glucose should be monitored, but it does not increase procedural risk.
B. Subdural hematoma: A subdural hematoma increases the risk of complications during ECT because the induced seizure can elevate intracranial pressure, potentially worsening the hematoma or causing neurological deterioration. This is a significant safety consideration.
C. Hyperthyroidism: While hyperthyroidism can affect cardiovascular response, it is not as high-risk as intracranial pathology. Pre-procedure assessment may include thyroid function evaluation if indicated.
D. Renal calculi: Kidney stones do not increase the risk of ECT complications. This condition is unrelated to seizure induction or anesthetic considerations.
Correct Answer is A
Explanation
Rationale:
A. Advise the client to wait 1 hr before showering or swimming: Testosterone gel should be allowed to fully absorb into the skin before washing or swimming, typically waiting at least 1 hour. This ensures optimal absorption and therapeutic effect.
B. Instruct the client to have his testosterone checked in 1 week: Testosterone levels are generally evaluated after several weeks of therapy to assess effectiveness, not after just one week.
C. Wear clean gloves to apply the gel: The client should apply the medication themselves using clean, dry hands. The nurse should wear gloves only if assisting to prevent unintentional hormone absorption.
D. Apply the gel to the client's genital region: Testosterone gel should not be applied to the genitals due to increased absorption risk and skin irritation. Recommended sites include shoulders, upper arms, or abdomen.
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