A client has been asked to undergo a series of diagnostic tests ...

[viki]

A client has been asked to undergo a series of diagnostic tests following a routine blood test that indicates leukemia. The client refuses to believe the diagnosis and has asked for a second opinion on two separate occasions.
 
  Which of the stages of death is the client most likely going through? A) Denial
  B) Anger
  C) Bargaining
  D) Depression

Question 2

A nurse who is a member of a hospital's client safety committee is participating in an initiative to ensure that the institution meets the National Patient Safety Goals. What is the most important way in which this committee can meet these goals?
 
  A) Institute measures to reduce clients' risks of death and injury while they are receiving care.
  B) Enact guidelines for health promotion and primary disease prevention.
  C) Educate caregivers about the appropriate use of standard infection control precautions.
  D) Educate clients and families about actions they can take to protect their health while in the hospital.

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Answer to Question 1

A
Feedback:
The client is going through the denial stage, refusing to believe the diagnosis and hoping there is a mistake in the reports. Anger is the second stage of death, in which the client retaliates by displacing his anger on his caregivers, health care professionals, or even God. Bargaining is the third stage. This is a psychological mechanism for delaying the inevitable; this stage involves a process of negotiation, usually with God or some other higher power. Depression is the fourth stage; this is a result of confronting potential losses.

Answer to Question 2

A
Feedback:
The purpose of these goals is to help healthcare organizations obtain and retain their accreditation by demonstrating safe and effective care. The primary method of achieving this is by reducing the risk of adverse client outcomes. Health promotion, disease prevention, and the use of standard precautions all facilitate healthy outcomes but these do not directly address the issue of safety.