A patient who has been diagnosed with inoperable lung cancer and ...

[Sportsfan2111]

A patient who has been diagnosed with inoperable lung cancer and has a poor prognosis plans a trip across the country to settle some issues with sisters and brothers.
 
  The nurse recognizes that the patient is manifesting which psychosocial response to death?
  a. Restlessness
  b. Yearning and protest
  c. Anxiety about unfinished business
  d. Fear of the meaninglessness of one's life

Question 2

The spouse of a patient with terminal cancer visits daily and cheerfully talks with the patient about wedding anniversary plans for the next year. When the nurse asks about any concerns, the spouse says, I'm busy at work, but otherwise things are fine.
 
  Which nursing diagnosis is most appropriate?
  a. Ineffective coping related to lack of grieving
  b. Anxiety related to complicated grieving process
  c. Caregiver role strain related to feeling overwhelmed
  d. Hopelessness related to knowledge deficit about cancer

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Answer to Question 1

ANS: C
The patient's statement indicates that there is some unfinished family business that the patient would like to address before dying. Restlessness is frequently a behavior associated with an inability to express emotional or physical distress, but this patient does not express distress and is able to communicate clearly. There is no indication that the patient is protesting the prognosis, or that there is any fear that the patient's life has been meaningless.

Answer to Question 2

ANS: A
The spouse's behavior and statements indicate the absence of anticipatory grieving, which may lead to impaired adjustment as the patient progresses toward death. The spouse does not appear to feel overwhelmed, hopeless, or anxious.

[Sportsfan2111]

Thank you

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