A client has been sullen and withdrawn since receiving the news of her cancer diagnosis. As the nurse enters the room, the client asks for assistance with a shower. Which comment by the nurse is the most appropriate?

Correct Answer: C

Rationale: The correct answer is C: "I will be glad to assist. I'll be right back with your supplies." This response acknowledges the client's request for assistance with empathy and reassurance. By stating "I'll be right back with your supplies," the nurse communicates readiness to help promptly. Option A is insensitive and dismissive of the client's emotions. Option B implies that the client's appearance is the root cause of their emotional state. Option D assumes the client's motivation for showering is to please their spouse, which may not be the case. Overall, option C demonstrates empathy, willingness to help, and respect for the client's autonomy.

Correct Answer: C

Rationale: The correct answer is C. Physical neglect is characterized by a lack of adequate care or supervision, resulting in a child's basic needs not being met. The assessment data provided in choice C, such as frequent absences, dirty clothes, withdrawal, and fatigue, are indicators of physical neglect. Absences may be due to lack of attention to the child's well-being, dirty clothes suggest poor hygiene care, and withdrawal and tiredness can stem from emotional neglect and lack of proper nutrition or sleep. Choices A, B, and D are not indicative of physical neglect. Choice A relates to sexual behavior knowledge, choice B to emotional well-being, and choice D to physical abuse.

Correct Answer: C

Rationale: The correct answer is C: Place on one-on-one, constant observation to ensure she does not harm herself. This is the priority nursing intervention because the client is at high risk for self-harm, as evidenced by hearing voices telling her to cut herself and already having marks on her wrists. Since she will not contract for safety, one-on-one observation is necessary to prevent harm. Removing plastic utensils (choice A) may not be sufficient to prevent self-harm. Conducting 15-minute checks (choice B) is not appropriate given the level of risk. Seclusion (choice D) is a restrictive intervention and should only be used as a last resort when less restrictive measures are insufficient. Constant observation ensures immediate intervention if self-harm is attempted, making it the most appropriate intervention in this scenario.

Correct Answer: A

Rationale: The correct answer is A because the client's statement of feeling that his faith has failed him and refusal to attend church indicate anger, which is a stage of grief according to Kubler-Ross. The client is expressing frustration and resentment towards his faith. Choice B reflects acceptance and preparation for death, not anger. Choice C shows a coping mechanism of setting a future goal, which is a form of denial or bargaining, not anger. Choice D reflects bargaining with God, which is another stage of grief, not anger. In summary, the other choices do not specifically demonstrate anger as a grief state according to Kubler-Ross, making choice A the correct answer.

Correct Answer: B

Rationale: The correct answer is B: "If I don't do intravenous (IV) drugs anymore, God won't let me die." This statement reflects the bargaining stage of grief, where the individual tries to negotiate with a higher power to avoid the negative outcome. It shows a sense of trying to control the situation through a specific action. In contrast, choices A, C, and D do not demonstrate bargaining behavior. Choice A expresses anger and blame, not bargaining. Choice C shows acceptance and proactive behavior, not bargaining. Choice D reflects denial or disbelief in the diagnosis, not bargaining.