The nurse is talking with a client who has been informed that a younger sibling was killed in an automobile accident. The nurse concludes that the client is in denial when the client states:

Question

1. "Maybe he'll be alright if they can get him to a hospital."
2. "I knew this would happen someday."
3. "I need to talk to my nieces."
4. "I need to go to my mother."

Answer 1

Answer: 1

1. The client has not yet processed the information that the sibling has died. The client "heard" that the sibling was hurt. This is a form of denial, which is a method of self-protection until the client is ready to face the news.
2. Knowing this would happen someday is acceptance of the information.
3. Wanting to talk to the nieces is a realization that their need is important, and is a form of acceptance.
4. Considering the needs of the parent in this situation is also a form of acceptance, as the client has moved past shock and denial to consider the needs of the mother.