A hospitalized client died moments earlier. The client's wife stares blankly at the nurse and states, "It can't be." The nurse assesses this as indicating:
1. Despair and protest
2. Disorganization and confusion
3. Anger and hostility
4. Shock and disbelief
ANS: 4
Shock and disbelief (option 4) are often the first responses to a death, followed by protest and despair (option 1). The client's wife's statement does not indicate confusion (option 2) or anger (option 3).
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