A young adult male patient diagnosed with terminal pancreatic cancer tells the nurse that if he lets his hair grow, God will cure him. What should the nurse realize this patient is demonstrating?
Select all that apply.
1. The patient is having delusions and is using religious beliefs to block his loss.
2. The patient is bargaining and is postponing his loss.
3. The patient is in denial, and his religious beliefs block his loss.
4. The patient is normal; bargaining with God for physical healing reflects a stage of grieving.
5. The patient is feeling anger and is using his religious beliefs to project his loss.
Correct Answer: 2,4
Bargaining is one stage within Kübler-Ross's stages of grieving in which the person makes a bargain with God and expresses the willingness to do anything to postpone the reality of the loss or change the prognosis. The patient is not delusional or in denial and is not using religious beliefs to block the loss. Bargaining with God is not a demonstration of anger.
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