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 C
Explanation
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.
Correct Answer is C
Explanation
Choice A rationale
A 56-year-old who had a colonoscopy 6 years ago does not necessarily need a colonoscopy unless there are other risk factors present.
Choice B rationale
A 45-year-old who has Clostridium difficile does not necessarily need a colonoscopy unless there are other risk factors present.
Choice C rationale
A 32-year-old who has a sister who died of colon cancer is at a higher risk for developing colon cancer and should therefore be scheduled for a colonoscopy.
Choice D rationale
A 34-year-old who reports a new onset of constipation does not necessarily need a colonoscopy unless there are other risk factors present.
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