The nurse is aware that in order to provide effective support to grieving patients and families, the nurse must?

A. Anger: The behavior of pushing others away and expressing hostility or frustration ("Go away, I don't want company") is indicative of the anger stage in Kübler-Ross's stages of dying. During this stage, individuals may experience feelings of resentment, frustration, or anger towards themselves, others, or their situation.

B. Acceptance: Acceptance involves coming to terms with one's own mortality and the reality of impending death. The behavior described does not reflect acceptance but rather resistance and refusal of company.

C. Bargaining: Bargaining involves attempting to negotiate or make deals to change the outcome of a situation. The behavior described does not reflect bargaining but rather a rejection of company.

D. Denial: Denial is characterized by refusing to accept the reality of one's impending death or the severity of one's condition. While the behavior described may involve avoidance or rejection, it is more indicative of anger than denial.

E. Depression: Depression involves feelings of sadness, hopelessness, and despair. While the behavior of pushing others away may result from feelings of depression, it is more specifically aligned with the anger stage, where hostility and frustration are prominent.

A. "I am hoping this will help relieve my discomfort": This statement reflects an understanding of the palliative nature of the care the client is receiving. The client acknowledges the goal of palliative care, which is focused on symptom management and improving quality of life rather than curative treatment. By expressing hope for relief from discomfort, the client demonstrates acceptance of the prognosis and is aligning with the goals of palliative care.

B. "This is not working, and I plan to stop treatment" : This statement suggests frustration with the current treatment but does not necessarily indicate acceptance of the prognosis. The client may still be seeking alternative treatments or may not fully understand the terminal nature of their condition.

C. "This is making me stronger every day": This statement implies a belief in the effectiveness of the treatment and a focus on improvement rather than acceptance of the prognosis. It does not address the client's understanding of their condition or prognosis.

D. "I am thinking of getting a second opinion": This statement indicates that the client is considering alternative perspectives on their diagnosis and treatment plan. While seeking a second opinion is a valid decision, it does not necessarily reflect acceptance of the prognosis. It suggests a desire for further information or clarification rather than a recognition of the terminal nature of the illness.