A middle-age patient with a terminal disease is speaking harshly ...

[Ebrown]

A middle-age patient with a terminal disease is speaking harshly to the nurse every time the call light is answered. The nurse identifies that this patient is experiencing the second stage of Kbler-Ross' stages of dying.
 
  What is the second stage? a. Anger
  b. Denial
  c. Bargaining
  d. Acceptance
  e. Depression

Question 2

A new mother is breastfeeding her infant. The nurse asks the mother if she is getting the correct amounts of dietary reference intakes. Which statement from the mother indicates a correct understanding of dietary guidelines?
 
  a. I am not concerned about dietary guidelines or a strict diet.
  b. I am taking the vitamin doses according to the television advertisements.
  c. I am only taking one multiple vitamin a day and eating whatever I want.
  d. I am eating the correct amount of food according to the recommended dietary allowances and adequate intakes.

[jordangronback]

Answer to Question 1

A
Kbler-Ross' (1969) classic theory identifies five responses to loss: denial, anger, bargaining, depression, and acceptance. Individuals in the denial stage act as though nothing has changed. They cannot believe or understand that a loss has occurred. In the anger stage, a person resists the loss, is angry about the situation, and sometimes becomes angry with God. During bargaining, the individual postpones awareness of the loss and tries to prevent the loss from happening by making deals or promises. A person realizes the full significance of the loss during the depression stage. When depressed, the person feels overwhelmingly lonely or sad and withdraws from interactions with others. During the stage of acceptance, the individual begins to accept the reality and inevitability of loss and looks to the future.

Answer to Question 2

D
When the mother said recommended dietary allowance, it indicated that she knew about the RDAs and the adequate intakes indicates she knew about the AI. In 1997 the Food and Nutrition Board of the National Institute of Medicine/National Academy of Sciences, in partnership with Health Canada, initiated dietary reference intakes (DRIs) in response to the increased public use of nutritional supplements. There are four components to the DRIs: estimated average requirement (EAR), recommended dietary allowances (RDAs), adequate intakes (AIs), and tolerable upper intake levels (ULs). Saying, I am not concerned about dietary guidelines or taking vitamin according to the television advertisements and eating whatever I want does not indicate a correct understanding of the DRIs.