Author Question: During a follow-up visit, a female patient is describing new onset of marital discord with her ... (Read 32 times)

tichca · **on:** Jul 22, 2018

During a follow-up visit, a female patient is describing new onset of marital discord with her terminally ill spouse to the hospice nurse. Which Kbler-Ross stage of dying is the patient experiencing?

a. Denial
b. Anger
c. Bargaining
d. Depression

Question 2

A patient cancels a scheduled appointment because the patient will be attending a Shivah for a family member. Which response by the nurse is best?

a. When families come together for end-of-life decisions, it provides connections.
b. We will reschedule so the appointment does not fall on the Sabbath.
c. Missionary outreach is so important for spiritual comfort.
d. I'm so sorry for your loss.

coyin · **Reply #1 on:** Jul 22, 2018

Answer to Question 1

ANS: B
Kbler-Ross's traditional theory involves five stages of dying. The anger stage of adjustment to an impending death can involve resistance, anger at God, anger at people, and anger at the situation. Denial would involve failure to accept a death. Bargaining is an action to delay acceptance of death by bartering. Depression would present as withdrawal from others.

Answer to Question 2

ANS: D
A death has occurred and saying that you are sorry for their loss is appropriate. The Jewish mourning ritual of Shivah is a time period when normal life activities come to a stop. Those mourning welcome friends into the home as a way of honoring the dead and receive support during the mourning period. Cultural variables can influence a person's response to grief. It is not when families come together for end-of-life decisions. It is not because the appointment fell on the Sabbath. It is not about missionary outreach.