The wife of a client recently diagnosed with end-stage renal failure shares with the nurse that, "He just accepts this; I want a second opinion."
The nurse recognizes that while the client has reached the acceptance stage of grieving, his wife is experiencing the:
1. Anger stage
2. Denial stage
3. Depression stage
4. Bargaining stage
ANS: 1
In the denial stage, a person acts as though nothing has happened and refuses to accept the fact of the loss. The person shows no understanding of what has occurred. When experiencing the anger stage of adjustment to loss, a person expresses resistance and sometimes feels intense anger at God, other people, or the situation. Bargaining cushions and postpones awareness of the loss by trying to prevent it from happening. Grieving or dying people make promises to self, God, or loved ones that they will live or believe differently if they can be spared the dreaded outcome. When a person realizes the full impact of the loss, depression occurs. Some individuals feel overwhelmingly sad, hopeless, and lonely. Resigned to the bad outcome, they sometimes with-draw from relationships and life. In acceptance, the person incorporates the loss into life and finds ways to move forward.
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The husband of a patient who died of breast cancer is still grieving for his wife 2 years later. What type of grief is he experiencing?
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A 15-year-old girl with juvenile idiopathic arthritis (JIA) asks the nurse how long she will need to consult an ophthalmologist for eye evaluations
The nurse's response is based on the knowledge that eye evaluations for complications of JIA should continue for: a. 1 year b. 2 years c. 5 years d. 10 years
In determining whether or not to request assistance in dealing with a person with a mental disorder, law enforcement officers should consider various factors impacting their decision. Which of the following is not one of these considerations?
a. The size and age of a person with mental illness b. Persons with a mental illness may, but not always, be unpredictable and irrational. c. A person with a mental illness may exhibit extraordinary strength. d. Backup may be needed for the safety of the officer, others, or the individual.