A nurse is caring for a patient who has been diagnosed with end-stage liver cancer.
Which statement by the patient indicates that the patient is in the denial phase of the grief process?
“Even though I am not hurting right now, I don’t feel like I have the energy to get out of bed.”.
“The doctor has been so good to me. I know he has tried everything he can. It is just my time.”.
“The doctor says I only have a few months to live, but I know he is exaggerating to get me to take my medication.”.
“I can’t believe that doctor graduated from medical school. He doesn’t know a thing about treating cancer.”.
The Correct Answer is C
Choice A rationale
This statement indicates fatigue and lack of energy, which are common symptoms in patients with end-stage liver cancer. However, it does not necessarily indicate denial.
Choice B rationale
This statement suggests acceptance rather than denial. The patient acknowledges the doctor’s efforts and seems to accept their own mortality.
Choice C rationale
This statement indicates denial. The patient is dismissing the doctor’s prognosis and expressing disbelief about the severity of their condition.
Choice D rationale
This statement suggests anger or frustration towards the doctor, but it does not necessarily indicate denial.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["2"]
Explanation
Step 1: Identify the prescribed dose, which is 650 mg.
Step 2: Identify the available amount, which is 325 mg per tablet.
Step 3: Divide the prescribed dose by the available amount to find the number of tablets. So, 650 mg ÷ 325 mg/tablet = 2 tablets. Therefore, the nurse should administer 2 tablets.
Correct Answer is C
Explanation
Choice A rationale
Taking histamine receptor antagonist medication as prescribed can help manage the symptoms of a hiatal hernia by reducing the production of stomach acid. This statement does not require correction.
Choice B rationale
Elevating the head of the bed on 6-inch blocks can help manage the symptoms of a hiatal hernia by using gravity to keep stomach acid from flowing back into the esophagus. This statement does not require correction.
Choice C rationale
Lying down after meals can exacerbate the symptoms of a hiatal hernia by making it easier for stomach acid to flow back into the esophagus. This action should be avoided.
Choice D rationale
Consuming small, frequent, bland meals can help manage the symptoms of a hiatal hernia by reducing the amount of stomach acid produced and preventing the stomach from becoming too full. This statement does not require correction.
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