A newly diagnosed cancer client is crying and states the following to the nurse: "I promised God that I will be a better person if I can just get better." What is the appropriate assessment of this comment by the nurse?
A) The client is just trying to protect self from potential loss.
B) Anger directed toward nursing staff is not unusual in dealing with cancer clients.
C) The cancer is viewed as a punishment from past actions.
D) Loss is inevitable so client is making final plans.
C
Feedback:
The comment made by the client is reflective of the bargaining stage of grief in which the client is bargaining with God to gain time. Denial is the first stage of grief in which the client uses to protect self, which is not reflective of the comment made. Anger is the second stage of grief and is not reflective of the statement made. Acceptance of inevitable loss is the final stage of grief, which is not reflective in the comment made.
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The biggest difference between the nursing process and many psychotherapeutic approaches is:
a. identified outcomes b. interventions based on theory c. assessment of client's needs d. evaluation of effectiveness
Which nursing intervention will the nurse anticipate taking in the first half hour after the client has received ECT?
1. Continually stimulate client to respond, using physical and verbal means. 2. Continue bagging client to improve respiratory function until client is responsive for 10 minutes. 3. Reorient as necessary to time, place, and person as client level of consciousness improves. 4. Encourage walking and eating breakfast as quickly as possible.
The nurse is asked by a patient with diabetes actions to take to preserve vision. What is the best response by the nurse?
A. "Blindness from diabetes is due to the small blood vessels in the eye becoming hardened and clogged and not being able to transport oxygen and nutrients to the retina." B. "The risk of developing blindness is related to how long you've had diabetes, and how well your blood sugar and hypertension are controlled." C. "Laser photocoagulation surgery will treat any problems that develop and stop the progression of diabetic retinopathy." D. "This is only a problem with type 2 diabetes, so you won't have this problem."