A client has just been transferred to a new facility from another ...

[TVarnum]

A client has just been transferred to a new facility from another hospital at his insistence. The client is demanding a second opinion because he feels that They must have made a mistake.
 
  The nurse recognizes that the best communication technique to use with this client is to
 
  a. clarify the client's response.
  b. reflect the client's behavior.
  c. summarize the client's behavior.
  d. acknowledge the client's feelings.

Question 2

The nurse is caring for a client who is expected to die within a month. The client states, I can't go on anymore, help me Which of the following best describes this client's stage of dying?
 
  a. Anger
  b. Denial
  c. Acceptance
  d. Depression

[vickybb89]

Answer to Question 1

ANS: B
Denial is a coping mechanism being used by this client. Personal reflections are critical sources of assessment data. Once rapport is established, the nurse should ask the client how he learned of his diagnosis. The nurse must accept the client's way of dealing with the stress and readiness to talk. Feelings are blocked during denial.

Answer to Question 2

ANS: D
Kbler-Ross characterizes the depression stage as the Yes, me stage, accompanied by depressive feelings. Mood swings and depressive feelings are hard for families to tolerate but very common. Kbler-Ross refers to anger as the Why me? stage, associated with feelings about the unfairness of life or anger with God. Kbler-Ross characterizes the denial stage as the No, not me stage. The acceptance stage is characterized by an acknowledgment of the inevitable end of life. As the client approaches death, there is a gradual detachment from the world, and the person is almost void of feeling. Because of this, there can be a sense of peace.