A client is diagnosed with terminal cancer. Which situation would the nurse assess as reflecting Kübler-Ross's grief stage of "anger"?
A. The client registers for an iron-man marathon to be held in 9 months.
B. The client is a devoted Catholic but refuses to attend church and states that his faith has failed him.
C. The client promises God to give up smoking if allowed to live long enough to witness a grandchild's birth.
D. The client gathers family in order to plan a funeral and make last wishes known.
B
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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When planning the care for a client with a penetrating eye injury, which of the following should be included?
1. Apply anesthetic drops 2. Remove foreign body 3. Apply eye ointment 4. Stabilize penetrating object
Parents of a 4-year-old child are concerned because he continues to stutter. Which nursing intervention is correct?
a. Remind the parents that stuttering is normal in children younger than 10 years. b. Ask the parents to have a speech evaluation performed if the stuttering continues beyond the age of 5 years. c. Reinforce the fact that this common speech defect requires no treatment. d. Tell the parents that speech problems are most treatable during the child's teen years.
Which behavior, seen in a 30-year-old patient, would alert the nurse to the fact that the patient is not in his appropriate developmental stage according to Erikson?
1. States he is happily married 2. Frequently requests to call his brother "just to check in" 3. Looks forward to visits from a co-worker 4. Says "I'm still trying to find myself."
The nurse determines that the client with venous stasis ulcers understood dietary teaching when the client says:
1. "I have increased my carbohydrate intake." 2. "I have reduced my sugar intake." 3. "I have increased my protein intake." 4. "I have decreased my fat intake."