A nurse is caring for a client who has been diagnosed with end-stage liver cancer. Which of the following responses is an indication the client is in the denial phase of the grief process?
I need someone near me all the time, l am very tired.
The doctor has been so good to me. I know he has tried everything he can. It is just my time.
The doctor says only have a few months to live, but know he is exaggerating to get me to take my medication.
Even though am not hurting right now, I don't feel like I have the energy to get out of bed.
The Correct Answer is C
This statement shows that the client is not accepting the reality of their prognosis and is dismissing the doctor's professional opinion. Denial is a common stage in the grief process where individuals may refuse to believe or accept a difficult reality, often as a coping mechanism to avoid the pain and sadness of the situation. Options a, b, d, and e do not indicate denial and instead may suggest fatigue, acceptance, physical weakness, and anger or frustration, respectively.

Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["A","B"]
Explanation
Option a. Clients diagnosed with anorexia nervosa often see themselves as overweight is true. Anorexia nervosa is characterized by a distorted body image and an intense fear of gaining weight. Even when they are severely underweight, individuals with anorexia nervosa may perceive themselves as being overweight.
Option b. Anorexia Nervosa has the highest mortality of all mental disorders is true. Anorexia nervosa is a serious mental illness that can have severe physical and psychological consequences, including death.
Option c. Clients diagnosed with anorexia nervosa often see themselves as emaciated and underweight is not true. As mentioned above, individuals with anorexia nervosa often have a distorted body image and may perceive themselves as being overweight even when they are severely underweight.
Option d. Clients diagnosed with anorexia nervosa are self-indulgent is not true. Anorexia nervosa is a complex mental illness that is not caused by self-indulgence.
Option e. Adolescent females are most affected is true. While anorexia nervosa can affect individuals of any gender and age, it is most diagnosed in adolescent females.

Correct Answer is C
Explanation
This statement shows that the client is not accepting the reality of their prognosis and is dismissing the doctor's professional opinion. Denial is a common stage in the grief process where individuals may refuse to believe or accept a difficult reality, often as a coping mechanism to avoid the pain and sadness of the situation. Options a, b, d, and e do not indicate denial and instead may suggest fatigue, acceptance, physical weakness, and anger or frustration, respectively.

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