The wife of a client recently diagnosed with end-stage renal ...

[MirandaLo]

The wife of a client recently diagnosed with end-stage renal failure shares with the nurse that, He just accepts this; I want a second opinion.
 
  The nurse recognizes that while the client has reached the acceptance stage of grieving, his wife is experiencing the:
  1. Anger stage
  2. Denial stage
  3. Depression stage
  4. Bargaining stage

Question 2

The nurse is using Bowlby's phases of mourning as a framework for assessing the client's re-sponse to the traumatic loss of her leg. During the yearning and searching phase, the nurse an-ticipates that the client may respond by:
 
  1. Crying intermittently
  2. Becoming angry at the nurse
  3. Acting stunned by the eventual loss
  4. Discussing the change in role that will occur

[Pswine]

Answer to Question 1

ANS: 1
In the denial stage, a person acts as though nothing has happened and refuses to accept the fact of the loss. The person shows no understanding of what has occurred. When experiencing the anger stage of adjustment to loss, a person expresses resistance and sometimes feels intense anger at God, other people, or the situation. Bargaining cushions and postpones awareness of the loss by trying to prevent it from happening. Grieving or dying people make promises to self, God, or loved ones that they will live or believe differently if they can be spared the dreaded outcome. When a person realizes the full impact of the loss, depression occurs. Some individuals feel overwhelmingly sad, hopeless, and lonely. Resigned to the bad outcome, they sometimes with-draw from relationships and life. In acceptance, the person incorporates the loss into life and finds ways to move forward.

Answer to Question 2

ANS: 1
During the yearning and searching phase of Bowlby's phases of mourning, the nurse antici-pates the client may have outbursts of tearful sobbing and acute distress. During Bowlby's dis-organization and despair phase of mourning, the nurse anticipates the client may express anger at anyone who might be responsible, including the nurse.
During the numbing phase of Bowlby's phases of mourning, the nurse anticipates the client may act stunned by the loss. During the reorganization phase of Bowlby's phases of mourning, the nurse anticipates the client may discuss the change in role that will occur.