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 D
Explanation
Choice A rationale
Removing the protective gown before exiting the patient’s room is a standard practice in infection control. However, it is not the most critical action when caring for a client with Clostridioides difficile under contact precautions.
Choice B rationale
Utilizing an electronic thermometer to measure the client’s temperature is a routine part of patient care and is not specific to contact precautions for Clostridioides difficile.
Choice C rationale
Shaking bed linens before placing them in a linen bag can potentially spread Clostridioides difficile spores, increasing the risk of transmission.
Choice D rationale
Taking off the protective gown prior to removing gloves is the correct sequence for doffing personal protective equipment (PPE). This sequence is important to prevent the spread of Clostridioides difficile to the healthcare provider and other patients.
Correct Answer is D
Explanation
Choice A rationale
Sleeping on a large wedge-style pillow can actually help reduce heartburn symptoms by elevating the head and preventing stomach acid from flowing back into the esophagus.
Choice B rationale
Consuming low-fat meats is generally recommended for patients with GERD as fatty foods can trigger heartburn symptoms.
Choice C rationale
Eating dinner early in the evening can help prevent heartburn as it allows the stomach to empty before lying down, reducing the risk of acid reflux.
Choice D rationale
Regularly drinking orange juice can contribute to heartburn in patients with GERD. Orange juice is acidic and can lower the pH of the stomach, triggering symptoms of heartburn.
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