Nurse’s note: Client body position slumped forward in chair, with head on bedside table, and no eye contact.
Client slow to verbally respond to Questions.
Vital signs noted, no change in condition at this time.
Denies any pain or discomfort at this time.
Requesting to speak to a chaplain at this time.
Which are included in the 5 stages of grief? (Select all that apply)
Repentance
Bargaining
Depression
Acceptance
Anger
Correct Answer : B,C,D,E
Choice A rationale
Repentance is not typically included in the five stages of grief as outlined by psychiatrist Elisabeth Kübler-Ross.
Choice B rationale
Bargaining is one of the five stages of grief. It often involves the individual making deals or promises to a higher power in an attempt to reverse or lessen the loss.
Choice C rationale
Depression is a stage of grief where the individual may experience intense feelings of sadness, hopelessness, and despair.
Choice D rationale
Acceptance is the final stage of grief, where the individual begins to accept the reality of their loss.
Choice E rationale
Anger is a stage of grief where the individual may feel intense anger towards the situation, themselves, or others.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A rationale
Increasing attendance at community social activities may not be a realistic goal for a patient in hospice care with Stage 4 breast cancer. The patient’s physical condition and energy levels may limit their ability to participate in such activities.
Choice B rationale
Receiving medication to minimize episodes of breakthrough pain is a realistic and important goal for a patient in hospice care. Effective pain management is a key aspect of end-of-life care.
Choice C rationale
Experiencing a weight gain of one to two pounds per week may not be a realistic goal for a patient in hospice care with Stage 4 breast cancer. Patients at this stage of illness often experience weight loss, not gain.
Choice D rationale
Verbalizing an understanding of the mode of disease transmission may not be a relevant goal for a patient in hospice care with Stage 4 breast cancer. The focus of care at this stage is typically on comfort and quality of life, rather than disease education.
Correct Answer is C
Explanation
Choice A rationale
Minimal assistance implies that the patient needs some help but can do most of the task on their own. In this case, the patient is able to stand up from a seated position using a cane for support, which suggests that they do not need assistance.
Choice B rationale
Moderate assistance implies that the patient needs more help to perform the task. The patient in the scenario is able to perform the task independently with the help of a cane.
Choice C rationale
No assistance means that the patient can perform the task independently. This is the most fitting answer because the patient is able to stand up from a seated position using a cane for support.
Choice D rationale
Maximum assistance implies that the patient is unable to perform the task without substantial help. This does not apply to the patient in the scenario as they are able to stand up independently with the help of a cane.
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