A client, who is receiving chemotherapy on a medical unit due to a recent diagnosis of terminal cancer of the liver, has an in-depth conversation with the nurse. The client says, "This cannot be happening to me."
The nurse identifies that this stage is associated with, according to Kübler-Ross:
1. Anxiety
2. Denial
3. Confrontation
4. Depression
ANS: 2
According to Kübler-Ross, the client is in the denial stage of dying. The client may act as though nothing has happened, may refuse to believe or understand that a loss has occurred, and may seem stunned, as though it is "unreal" or difficult to believe. There is no stage of anxiety in the five stages of dying of Kübler-Ross. There is no stage of confrontation in the five stages of dying of Kübler-Ross. During depression the individual may feel overwhelmingly lonely and withdraw from interpersonal interaction.
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A nurse is assessing an 84-year-old female Chinese American's pain following her left hemiarthroplasty 2 days prior. Which of the following characteristics of Chinese Americans should the nurse be aware of during this assessment?
A) Chinese Americans often view pain as a virtue and tend to underreport it. B) Chinese Americans have a fatalistic view of pain and see analgesia as inappropriate and undeserved. C) Chinese women often overstate their pain in light of health care providers' reluctance to provide analgesia. D) There is often a reluctance to acknowledge pain among older Chinese Americans.
To minimize an older adult's risk for developing postsurgical atelectasis, the nurse does which of the following? (Select all that apply.)
a. Regularly assesses and medicates for pain b. Teaches effective deep-breathing tech-niques c. Provides oxygen via nasal cannula d. Encourages the patient to drink all fluids on meal trays e. Assesses lung sounds frequently
Diabetes mellitus Type 2 has been increasing in children because of:
1. Environmental surroundings. 2. Autoimmune disorders. 3. Obesity. 4. Earlier use of drugs and alcohol in children.
What is St. John's wort used to treat?
a. Rheumatoid arthritis b. Asthma c. Depression d. Viral infections