The nurse is caring for a patient with a terminal illness. The patient asks to see his lawyer. The nurse understands that the patient is most likely in which stage of dying?
a. denial c. depression
b. bargaining d. acceptance
D
Denial is characterized as refusing to accept what has been explained. It is an immediate response to a loss. Bargaining is an attempt to postpone the inevitable. Depression is a realization that the loss can no longer be delayed. Acceptance is characterized by growing awareness of peace and contentment.
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A 52-year-old patient describes the presence of occasional floaters or spots moving in front of his eyes. The nurse should:
a. Examine the retina to determine the number of floaters. b. Presume the patient has glaucoma and refer him for further testing. c. Consider these to be abnormal findings, and refer him to an ophthalmologist. d. Know that floaters are usually insignificant and are caused by condensed vitreous fibers.
Which of the following measures is merely a simple difference score?
a. Standard deviation = 2.41 b. Difference scores = –2, –2, –1, +2, and +3 c. Range = 8 d. Variance = 5.80
When teaching a woman how to use a diaphragm, the nurse should advise her that:
a. A different size diaphragm may be needed if her weight changes by more than 4.5 kg (10 lbs). b. It is important to leave the diaphragm in place for 48 hours after intercourse. c. The diaphragm can be used during a menstrual period. d. Spermicides will cause the latex to deteriorate.
A student nurse tells the instructor, "I'm concerned that when a client asks me for advice I won't have a good solution." Which should be the nursing instructor's best response?
A. "It's scary to feel put on the spot by a client. Nurses don't always have the answer." B. "Remember, clients, not nurses, are responsible for their own choices and decisions." C. "Just keep the client's best interests in mind and do the best that you can." D. "Set a goal to continue to work on this aspect of your practice."