A nurse is caring for a client who was recently diagnosed with a terminal illness. The client tells the nurse, "I am looking forward to seeing my grandchildren grow up." The nurse should identify that the client is experiencing which of the following stages of grief?

Denial

Bargaining

Acceptance

Anger

Answer and Explanation

The Correct Answer is A

A.   Denial is the first stage of grief, in which the person refuses to accept the reality of their situation and tries to maintain a sense of normalcy. The client who says they are looking forward to seeing their grandchildren grow up is denying the fact that they have a terminal illness and that they may not live long enough to witness that.
B.   Bargaining involves making deals with self and God to help feel better, for instance, in this case the client will be expressing the will to do anything to prolong his life.
C.   Acceptance involves coming to terms with the reality of the situation and preparing for death. The client's statement does not indicate full acceptance.
D.   Anger involves feelings of resentment or frustration. The client's statement does not express anger towards their situation.

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Correct Answer is C

Explanation

A. This response is associated with cranial nerve II, the optic nerve.

B. Tongue position is associated with cranial nerve XII, the hypoglossal nerve.

C. A symmetrical smile is indicative of cranial nerve VII, the facial nerve.

D. This action is associated with cranial nerve XI, the accessory nerve.

A. The client has electrical wires secured to baseboards. B. The client wears rubber-sole shoes. C. The client's visual acuity is 20/40. D. The client takes an antihypertensive medication.

Correct Answer is D

Explanation

A. Securing electrical wires reduces tripping hazards and promotes safety.

B. Rubber-sole shoes provide better traction and reduce the risk of slips and falls.

C. Reduced visual acuity increases the risk of falls but not as much as taking antihypertensives do.

D. Taking an antihypertensive medication can be a potential fall risk, because it can cause hypotension and dizziness.

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A nurse is caring for a client who was recently diagnosed with a terminal illness. The client tells the nurse, "I am looking forward to seeing my grandchildren grow up." The nurse should identify that the client is experiencing which of the following stages of grief?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is C

Explanation

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Correct Answer is D

Explanation

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