A nurse is caring for a client who has a terminal diagnosis and states, "If I get better, I promise to go to church every day.”. The nurse should identify that the client is experiencing which of the following Kubler-Ross stages of grief?
Depression.
Bargaining.
Denial.
Anger.
The Correct Answer is B
Choice A rationale:
The statement, "Depression," does not align with the client's promise to go to church every day if they get better. Depression is one of the Kubler-Ross stages of grief, but it does not reflect the client's behavior of making promises to engage in specific activities if they improve. Therefore, this choice does not represent the client's current stage of grief accurately.
Choice B rationale:
The client's statement, "If I get better, I promise to go to church every day," indicates that the client is in the bargaining stage of grief. During this stage, individuals often make deals or promises in an attempt to reverse or delay the terminal diagnosis or adverse outcome. This response reflects the typical behavior associated with the bargaining stage, making it the correct choice.
Choice C rationale:
The statement, "Denial," is not consistent with the client's promise to go to church every day. Denial is a stage in which individuals may refuse to accept the reality of their situation and may not engage in making promises or deals. Therefore, this choice does not accurately represent the client's current stage of grief.
Choice D rationale:
The statement, "Anger," does not align with the client's promise to go to church every day. Anger is another stage of grief, characterized by frustration and resentment, but it does not correspond to the client's behavior of making promises. This choice does not accurately reflect the client's current stage of grief.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A rationale:
"Role performance overload" is not a direct adverse effect of a negative body image. Role performance overload refers to excessive demands and responsibilities in one's life, which can lead to stress and burnout. While a negative body image can contribute to stress, it does not directly cause role performance overload.
Choice B rationale:
"Development of an eating disorder" is a well-documented adverse effect of a negative body image. Individuals with a negative body image may develop eating disorders like anorexia nervosa or bulimia as they strive for an idealized body image. This choice is directly related to the topic of negative body image.
Choice C rationale:
"Mistrust" is not a typical adverse effect of a negative body image. Mistrust is more related to issues of trust and interpersonal relationships, while a negative body image primarily affects one's self-perception.
Choice D rationale:
"Self-absorption" can be a consequence of a negative body image, as individuals may become preoccupied with their appearance and self-worth based on their body. However, the most direct and severe consequence is the development of eating disorders, as mentioned in choice B. .
Correct Answer is B
Explanation
Choice A rationale:
Reduced respiratory rate is not a typical manifestation of pain. In fact, pain often leads to an increased respiratory rate as the body responds to discomfort by trying to minimize it.
Choice B rationale:
Elevated blood pressure is a common manifestation of pain. When a person experiences pain, their sympathetic nervous system is activated, leading to an increase in heart rate and blood pressure. This response is designed to prepare the body to fight or flee from a potential threat, and it helps redirect blood flow to vital organs.
Choice C rationale:
Constricted pupils are not a direct manifestation of pain. In contrast, dilated pupils can be seen in response to pain as a result of sympathetic nervous system activation.
Choice D rationale:
Decreased heart rate is not typically associated with pain. Pain tends to increase heart rate as a part of the body's stress response.
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