Directions: Correlate the behavior with Kübler-Ross's stages of dying from the choices below. "My family will be fine after I'm gone "

Anger

Depression

Denial

Bargaining

Acceptance

Answer and Explanation

The Correct Answer is E

The statement "My family will be fine after I'm gone" reflects a sense of acceptance of the situation and an acknowledgment of the inevitability of death. Here's how it correlates with Kübler-Ross's stages of dying:

Anger (Option A): Anger is characterized by feelings of frustration, resentment, and hostility. The statement does not express any anger towards the situation or others; instead, it conveys a sense of resignation and acceptance.

Depression (Option B): Depression involves feelings of sadness, hopelessness, and despair. While the statement could potentially be interpreted as reflecting sadness about leaving loved ones behind, it primarily conveys a sense of acceptance rather than depression.

Denial (Option C): Denial involves refusing to accept the reality of the situation. The statement provided does not reflect denial as it acknowledges the reality of the individual's impending death rather than denying it.

Bargaining (Option D): Bargaining involves attempting to negotiate with a higher power or others to change the outcome of the situation. The statement does not reflect bargaining as it does not involve any attempt to change the inevitable outcome of death.

Acceptance (Option E): Acceptance is the final stage in Kübler-Ross's model and involves coming to terms with one's impending death. The statement "My family will be fine after I'm gone" suggests that the individual has accepted their fate and believes that their loved ones will be able to cope without them. Therefore, this behavior correlates most closely with the stage of acceptance.

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Correct Answer is B

Explanation

A. Have no friends among the unit staff: While having friends among the unit staff can provide emotional support, it is not directly related to a nurse's ability to cope with patient deaths. Support from colleagues can be helpful, but it is not the primary factor influencing a nurse's response to patient deaths.

B. Have not come to terms with their own mortality: This option addresses a significant factor in how nurses cope with patient deaths. Nurses who have unresolved issues or anxiety about their own mortality may find it challenging to deal with the deaths of their patients. Facing one's mortality is an essential aspect of developing resilience in the face of death and dying.

C. Did not foresee that the illness was terminal: While it can be emotionally challenging when a patient's illness unexpectedly becomes terminal, nurses are trained to provide care and support regardless of the prognosis. The ability to cope with patient deaths extends beyond foreseeing the terminal nature of an illness.

D. Cared for the patient for several days: The duration of care provided to a patient may influence the depth of the nurse's emotional connection but does not necessarily determine their ability to cope with patient deaths. Nurses develop coping mechanisms and emotional resilience through experience, training, and self-awareness, rather than simply through the length of time caring for a patient.

A. Get him out of bed for an hour in the morning and afternoon and for a short time (15 minutes) before bedtime so that he does not sleep all day and stay awake at night. B. Get him out of bed for 2 hours in the morning and afternoon and for a short time (15 minutes) before bedtime so that he does not sleep all day and Stay awake at night. C. Assess his strength and desire to get out of bed, but permit him to remain in bed if he chooses, because that is his position of comfort. D. Leave him in bed if he wishes, but have him do active exercises of his legs and arms to prevent further muscle weakness.

Correct Answer is C

Explanation

A. and B. Both options involve getting the patient out of bed for specified periods during the day to prevent excessive sleep during the day and wakefulness at night. However, these options may not align with the patient's preferences and comfort.

C. This option respects the patient's autonomy and acknowledges his preference to remain in bed due to feeling tired and weak. It also recognizes that comfort is a priority in end-of-life care. The nurse will assess the patient's strength and desire to get out of bed but will permit him to remain in bed if he chooses, as that is his position of comfort.

D. Leaving the patient in bed while encouraging active exercises may be physically demanding for the patient and may not be appropriate, especially considering the patient's terminal condition and desire to remain in bed.

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Directions: Correlate the behavior with Kübler-Ross's stages of dying from the choices below. "My family will be fine after I'm gone "

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Naxlex Comprehensive Predictor Exams

Nurses may have a difficult time dealing with patient deaths if they

Correct Answer is B

Explanation

A terminal patient in a skilled nursing home has stated that he does not want to get out of bed, because he is too tired and weak to sit in a chair. He sleeps on and off all day and night, his position is changed every 2 hours, and he is comfortable on his pain regimen. The next day the nurse will:

Correct Answer is C

Explanation

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Directions: Correlate the behavior with Kübler-Ross's stages of dying from the choices below. "She's not that sick!"