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. Transfer on the client's weaker side when moving a client from a bed to a chair: Clients should be moved toward their stronger side to facilitate participation and reduce strain on both the client and the nurse. Transferring toward the weaker side increases risk of injury and reduces stability.
B. Raise the head of the bed when transferring a client from a bed to a stretcher: Raising the head of the bed does not directly enhance safe body mechanics or ergonomic principles during a transfer. Proper lifting techniques and devices are more critical for preventing injury.
C. Use a lateral transfer device when moving a client from a bed to a stretcher: Using a lateral transfer device, such as a sliding board or transfer sheet, minimizes manual lifting, reduces musculoskeletal strain, and follows ergonomic principles. It is a key safety strategy for both the client and healthcare staff.
D. Use a pillow underneath the client's head when repositioning a client in bed: Placing a pillow under the head supports comfort and alignment but does not relate to ergonomic principles or safe lifting techniques. Ergonomics focuses on body mechanics, positioning, and injury prevention for caregivers.
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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