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Denial: Denial involves refusing to accept the reality of loss (e.g., “This can’t be happening”); the patient’s statement is more hostile than a refusal to accept reality.

Bargaining: Bargaining is attempting to negotiate (often with a higher power) to delay the loss (e.g., “If you let me live I’ll…”); that doesn’t fit this statement.

Acceptance: Acceptance is calm acknowledgement and readiness to face the loss; the patient’s hostile rejection is not acceptance.

Limit unsaturated fat: Unsaturated fats (mono- and polyunsaturated) are heart-healthy and generally encouraged; it’s saturated and trans fats that should be limited.

Increase intake of fruits and vegetables: Fruits and vegetables increase fiber, antioxidants, and important nutrients and are consistently recommended for cardiovascular health.

Increase intake of fluids: Not specific to cardiac health; in some cardiac conditions (e.g., heart failure) fluid intake may need restriction, so this is not a general recommendation.

Measurement of objective data relative to a patient's health status: The continuum is conceptual, not a specific data-measurement tool.

A numeric scale used to describe level of well-being: It can be represented visually but it’s not inherently a numeric scale - the emphasis is on continuum, not numbers.

Statistical representation of health quality of a patient: The model is conceptual/illustrative rather than a statistical measure.

Respiratory rate declining: Not supported by the information given (an objective vital sign wasn’t reported).

Pain medication effective: That’s an inference - possible but not what was directly observed; better to record the observable (patient appears at peace) and then assess pain.

End of life near: Speculative; documenting “end of life near” is premature unless supported by clinical signs and team assessment.

Tell the nurse that discriminatory behavior is being exhibited against the patient and reassign the care of the patient to another nurse: Calling out discriminatory behavior may be necessary, but labeling it before assessment can be confrontational; reassigning can protect patient safety but the charge nurse should first assess.

Suggest to the nurse that it was due to stress of hospitalization and have the nurse take care of the patient: Minimizes the nurse’s refusal and forces care that may be unsafe or resentful; not appropriate without exploration.

Have the nurse reflect on their own beliefs and values and the nurse care for the patient: Reflection is useful long-term, but it doesn’t address the immediate patient care need or the nurse’s refusal-patient assignments must be managed now.

Turn the patient frequently: Repositioning helps prevent pressure injuries, reduces pooling of secretions, promotes comfort and skin integrity - appropriate even for dying, with frequency adjusted for comfort.

Provide a.m. care: Morning care (mouth care, face wash, grooming as tolerated) preserves dignity, reduces infection risk and dryness - appropriate and comforting.

Provide skin care: Skin care (moisture management, barrier creams, gentle cleansing) prevents breakdown and is essential nursing care for nonresponsive patients.

Apply a cool compress to the patient's forehead: A cool compress can provide comfort and mild symptomatic relief but is unlikely to be the most effective single intervention for persistent nausea.

Administer pain medication: Pain medication is indicated for pain; unless pain is the cause of nausea, giving analgesics is not appropriate and some opioids can worsen nausea.

Contact the health-care provider (HCP) for additional nausea medication: Appropriate if the antiemetic regimen is failing or the patient needs an alternative, but it is not the first immediate step if the current medication is still within its dosing interval - try safe nursing measures first.

Lettuce: Lettuce contains some vitamins and water but is relatively low in antioxidant-rich phytochemicals compared with darker-colored produce.

Milk: Milk provides calcium and protein but is not a significant source of antioxidants.

Sherbet: Sherbet is a sugary frozen dessert with minimal nutrients and negligible antioxidant content.

Symptomatic: The symptomatic phase is when a person first notices symptoms (true), but this option alone doesn’t capture that the patient is actively seeking care.

Prodromal: Prodromal refers to vague early signs before clear symptoms develop; a localized right-sided abdominal pain is beyond a prodrome.

Dependency: Dependency (the dependent patient role) occurs after seeking care and during treatment when the patient relies on providers; the clinic visit indicates seeking help rather than established dependency.

"This specialty of medicine may prove to be helpful.": Sounds mildly endorsing and could bias the patient; better to be neutral and encourage informed decision-making.

"Traditional Western medicine is more likely to provide pain relief.": Judgmental and comparative without evidence; it can discourage patient autonomy and isn’t a neutral, patient-centered response.

"Ask family members for their opinion about chiropractic medicine.": Family input can be helpful, but relying on family opinion alone isn’t a substitute for evidence-based information or discussing risks/benefits with a provider.