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 D
Explanation
Choice A rationale:
Fibromyalgia. Fibromyalgia is a chronic condition characterized by widespread musculoskeletal pain, fatigue, and tender points. It is not an example of acute pain. Acute pain typically has a sudden onset and is of limited duration.
Choice B rationale:
Peripheral neuropathy. Peripheral neuropathy can cause both acute and chronic pain, depending on the underlying cause. However, it is not a classic example of acute pain. Acute pain is usually associated with a specific injury or condition and has a sudden onset.
Choice C rationale:
Rheumatoid arthritis. Rheumatoid arthritis is a chronic autoimmune condition that can cause joint pain and inflammation. While it can have acute flares of pain, it is primarily considered a chronic condition. Acute pain typically results from injuries or conditions with a sudden onset.
Choice D rationale:
Surgical incision. This is the correct answer. A surgical incision represents a classic example of acute pain. It is a pain that results from a specific event, in this case, surgery, and typically has a well-defined onset and duration. Acute pain is often sharp and intense, and it resolves as the incision heals.
Correct Answer is A
Explanation
Choice A rationale:
The CDC and other health organizations recommend at least 150 minutes of moderate-intensity aerobic exercise per week for overall health, which includes benefits for bone health. Weight-bearing exercises are particularly important for preventing osteoporosis.
Choice B rationale:
Performing vigorous exercise at least 2 times per week is generally recommended for maintaining cardiovascular health and overall fitness. However, for a client at risk for osteoporosis, the primary focus should be on calcium and vitamin D intake to support bone health and density. Vigorous exercise alone may not provide the necessary nutrients for bone health.
Choice C rationale:
Taking 400 IU of vitamin D supplement each day is a reasonable recommendation to support bone health, as vitamin D is essential for calcium absorption. However, the primary concern for a client at risk for osteoporosis is calcium intake. While vitamin D is important, calcium supplementation is more critical for addressing this specific issue.
Choice D rationale:
The RDA for calcium is generally 1,000 mg for adults up to age 50 and 1,200 mg for women over 50 and men over 70. For someone at risk of osteoporosis, ensuring adequate calcium intake is essential for bone health.
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