The nurse is caring for a client who is dying. She overhears the client saying, "God, if you will only let me live to see my daughter get married, I promise I will start going to church again."
The nurse understands that the client is in which stage of grief according to Kübler-Ross?
A) Denial
B) Bargaining
C) Depression
D) Anger
E) Acceptance
Ans: B
Feedback:
Kübler-Ross proposed five stages of grief: (a) denial, (b) anger, (c) bargaining, (d) depression, and (e) acceptance. Denial may range from complete denial of the illness and impending death to denial of the effect that dying will have on self and others. In the second stage, anger may be directed toward fate, God, family members, health care providers, or others. Bargaining occurs as the client seeks to delay the dreaded event; the client bargains with God for more time and, in return, promises to do something to repay God for this favor. Depression occurs when the client acknowledges the reality and inevitability of the impending death. In the final stage, acceptance, the client comes to terms with the loss, begins to detach from supportive people, and loses interest in worldly activities.
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