A middle-age patient with a terminal disease is speaking harshly to the nurse every time the call light is answered. The nurse identifies that this patient is experiencing the second stage of Kübler-Ross' stages of dying
What is the second stage? a. Anger
b. Denial
c. Bargaining
d. Acceptance
e. Depression
A
Kübler-Ross' (1969) classic theory identifies five responses to loss: denial, anger, bargaining, depression, and acceptance. Individuals in the denial stage act as though nothing has changed. They cannot believe or understand that a loss has occurred. In the anger stage, a person resists the loss, is angry about the situation, and sometimes becomes angry with God. During bargaining, the individual postpones awareness of the loss and tries to prevent the loss from happening by making deals or promises. A person realizes the full significance of the loss during the depression stage. When depressed, the person feels overwhelmingly lonely or sad and withdraws from interactions with others. During the stage of acceptance, the individual begins to accept the reality and inevitability of loss and looks to the future.
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A client who has been diagnosed with a phobic disorder asks the nurse if there are any medications that would be beneficial in treating phobic disorders. Which of the following would be accurate responses by the nurse? Select all that apply
A. Some antianxiety agents have been successful in treating social phobias. B. Some antidepressant agents have been successful in diminishing symptoms of agoraphobia and social anxiety disorder (social phobia). C. Specific phobias are generally not treated with medication unless accompanied by panic attacks. D. Beta-blockers have been used successfully to treat phobic responses to public performance.
List the lab values affected by hydration and explain why
The perinatal nurse knows that the term to describe a woman at 26 weeks gestation with a history of elevated blood pressure who presents with a urine showing 2+ protein (by dipstick) is:
A) Preeclampsia B) Chronic hypertension C) Gestational hypertension D) Chronic hypertension with superimposed preeclampsia
How should providing care to families of homicide and suicide victims best be addressed on the population level?
1. Assist family members to work through feelings of grief and guilt. 2. Advocate for support services for families of victims. 3. Referral to assistance with legal and other tasks as needed. 4. Assist families to find positive ways to cope with loss.