A client is diagnosed with terminal cancer. Which situation represents Kübler-Ross's grief stage of "anger"?
1. The client registers for an iron-man marathon to be held in 9 months.
2. The client is a devout Catholic but refuses to attend church and states that his faith has failed him.
3. The client promises God to give up smoking if allowed to live long enough to witness a grandchild's birth.
4. The client gathers family in order to plan a funeral and make last wishes known.
2
Rationale: The nurse should assess that the client is in the "anger" stage of grieving when the client refuses to attend church and states that his faith has failed him. Anger is the second stage of Kübler-Ross's grief process, in which the reality of the situation is realized, and the individual has feelings of sadness, guilt, shame, helplessness, and hopelessness.
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The nurse understands that culture and religious traditions and practices: Standard Text: Select all that apply
1. Should be supported by the healthcare team 2. Often determine expression of grief 3. Encourage outward expressions of grief 4. Are diverse in the United States 5. Require individualized care
Order: Heparin 1,450 units/hr Available: Heparin 25,000 units in 500 mL D5W The IV flow rate is _______________
A. 29 mL/hr B. 14 mL/hr C. 40 mL/hr D. 10 mL/hr
The nurse is giving a bath demonstration for a group of new mothers. What should be included in the demonstration?
a. Apply baby powder generously to keep baby dry. b. Cleanse perineum from front to back. c. Use scented soap to make baby smell good. d. Partially submerge head in water when shampooing.
Mr. Hosa is a 68-year-old man who is in the end stages of pancreatic cancer. His care team has suggested the possibility of hospice care but Mr. Hosa is opposed, stating, "A hospice is just a place to wait to die
" Which of the following statements should underlie the nurse's response to Mr. Hosa? A) Spiritual and emotional needs are more important than physical needs. B) A hospital setting is an inappropriate place to die. C) Meaningful living can take place despite terminal illness. D) Acceptance of mortality can delay physiologic death.