When the patient says, "l can die happily if I can live long enough to see my first grandchild that will be born next month." The nurse assesses that this patient is experiencing Kübler Ross's stage of:

bargaining.

anger.

denial.

depression.

Answer and Explanation

The Correct Answer is A

The patient's statement reflects the stage of bargaining in Kübler-Ross's model of the five stages of grief and dying. During the bargaining stage, individuals may negotiate with a higher power or express desires to postpone or mitigate the inevitable outcome, such as death. In this case, the patient is expressing a wish to live long enough to witness the birth of their first grandchild, indicating a form of negotiation or bargaining with fate or circumstances.

A. Bargaining: Bargaining is characterized by attempts to negotiate or make deals in an effort to postpone or change the outcome of a situation, often involving a plea for more time or specific circumstances. The patient's statement about wanting to live long enough to see their first grandchild born exemplifies this stage, as they are expressing a desire to prolong their life to experience a significant event.

B. Anger: Anger involves feelings of frustration, resentment, or rage directed towards oneself, others, or the situation. The patient's statement does not reflect anger but rather a hopeful desire to witness a significant life event, indicating a different stage of grieving and acceptance.

C. Denial: Denial involves refusing to accept the reality of a situation or diagnosis, often accompanied by disbelief or avoidance of the truth. The patient's statement does not suggest denial, as they are acknowledging their impending death but expressing a desire for a specific experience before it occurs.

D. Depression: Depression in the context of Kübler-Ross's model involves feelings of sadness, hopelessness, and withdrawal in response to the impending loss or death. While the patient's statement may evoke emotions related to the significance of the event, it does not necessarily reflect depression as the primary stage of grief being experienced. Instead, it aligns more closely with bargaining, as the patient is expressing a desire for a particular outcome before facing death.

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Correct Answer is B

Explanation

Answer: B

Rationale:

A) "Tell me why you want to take your child home."

This response could be perceived as questioning or challenging the parents' decision, potentially causing them to feel defensive or unsupported. It does not provide immediate assistance or support for their decision.

B) "I will help you get ready to leave."

This response shows support and understanding for the parents' decision. It offers practical assistance, helping the family transition smoothly from the hospital to home care, which is important for their emotional and logistical needs during this difficult time.

C) "You have not given the medication a chance to work."

This response may come across as dismissive of the parents' wishes and could imply that their decision is not valid. It does not acknowledge the parents' right to make decisions about their child's care, especially in a palliative context.

D) "The pediatrician is the only one who can discharge your child."

While it is true that discharge typically requires a physician's order, this response does not offer the supportive tone needed in this situation. It places an unnecessary barrier between the parents and their goal without providing assistance or comfort.

A. "Don’t let him get away with this abuse. He doesn’t need to yell at you." B. "I'm afraid he is having a bad day and feels neglected." C. "This may be how he feels best in dealing with this illness. You'll just have to ignore it." D. "Anger is a reaction that dying people experience. You may be feeling some anger yourselves."

Correct Answer is D

Explanation

A. "Don’t let him get away with this abuse. He doesn’t need to yell at you": This response is dismissive of the patient's emotions and fails to address the underlying issues causing the anger. It may escalate the situation and create conflict rather than fostering understanding and support.

B. "I'm afraid he is having a bad day and feels neglected": While this response acknowledges the patient's feelings, it does not provide a broader context for understanding the patient's behavior. It may also inadvertently minimize the patient's emotions and the impact of his terminal illness.

C. "This may be how he feels best in dealing with this illness. You'll just have to ignore it": This response dismisses the patient's behavior as acceptable without exploring its underlying causes. It does not promote therapeutic communication or help address the patient's needs and concerns.

D. "Anger is a reaction that dying people experience. You may be feeling some anger yourselves": This response acknowledges the patient's emotions as a common reaction to terminal illness, normalizing his experience. It also recognizes the emotions of the nurses and family, encouraging empathy and understanding. By validating the patient's feelings and providing context, the nurse can facilitate a supportive environment and promote effective communication and care.

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When the patient says, "l can die happily if I can live long enough to see my first grandchild that will be born next month." The nurse assesses that this patient is experiencing Kübler Ross's stage of:

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse in an acute care facility is caring for a preschool-age child who is terminally ill and receiving palliative care. The parents tell the nurse that they have decided to take their child home. Which of the following responses should the nurse make?

Correct Answer is B

Explanation

A terminally ill patient is angry and belligerent. He yells at the nurses and his family for not coming quickly enough when he calls, and he states that he isn't receiving the care he needs. The nurse's most informative response would be:

Correct Answer is D

Explanation

The emotional feeling of pain and loss is known as

The nurse can assess Cheyne-Stokes respiration by its characteristics of respirations that are:

Directions: Correlate the behavior with KübIer-Ross's stages of dying from the choices below. Tells God: "If I quit smoking I can just live until after my daughter's wedding."

Directions: Correlate the behavior with KübIer-Ross's stages of dying from the choices below. pleads "If Mom will just be OK. I'll do my homework every day."

A nurse is assisting with teaching a class about the effects of spirituality for clients who are near the end of life. Which of the following information should the nurse include?

A nurse is caring for a client who has a new diagnosis of chronic renal failure. The nurse should recognize which of the following client statements as an indication of anticipatory grief?

A nurse is providing palliative care to a client who is receiving hospice care and is approaching death. Which of the following actions should the nurse take? (Select all that apply.)

Directions: Correlate the behavior with KübIer-Ross's stages of dying from the choices below. "I'm going after that company for using that chemical on the field next door. "