Question

A nurse is assessing a client who has a terminal illness adjust to progressive loss of independence. Which of the following statements by the client indicates acceptance of her illness

a.""I am going to order a wheelchair for when I'm unable to walk.""The client is recognizing the reality of continued loss of independence and is anticipating the need for assistive devices, which indicates the behavioral response of acceptance.
b.""I am going to stop paying my bills since I won't be around much longer.""The client is verbalizing hopelessness and demonstrating the grieving stage of depression. This does not indicate acceptance.
c.""I wish you would go take care of somebody who actually needs you.""The client is expressing anger, which is a behavioral response to grief. This does not indicate acceptance.
d.""I am sure I'm going to be able to continue to care for myself without help.""MY ANSWERThe client is expressing denial, which is a behavioral response to grief. This does not indicate acceptance.

Answer 1

Elisabeth Kübler-Ross's five-stage model of grief includes denial, anger, bargaining, depression, and acceptance, and describes the emotional process individuals go through when facing terminal illness or loss. Hospice care aligns with the acceptance stage by providing support and comfort to the terminally ill and their families.

Step-by-step explanation:

Understanding the Five Stages of Grief

Elisabeth Kübler-Ross, a pioneering psychologist in the field of death and dying, developed the five-stage model of grief. The stages include denial, anger, bargaining, depression, and finally, acceptance. These are a part of the framework that makes up our learning to live with the loss. When faced with a terminal illness or processing the death of a loved one, individuals often move through these stages, though not necessarily in this order and not everyone experiences all five.

Hospice care plays a vital role for many in the final stage of life. It offers support and comfort for those with a terminal illness, allowing them to live their last days in a respectful and personally fulfilling way, often at home. Moreover, hospice care provides crucial emotional and psychological support to both the patient and their family, which aligns with the acceptance stage of Kübler-Ross's model.

Each person's reaction to grief is unique, although there are common patterns as identified by Kübler-Ross. Someone in the denial phase might refuse to accept their prognosis, while anger may lead to questions of 'Why me?' Bargaining often involves trying to negotiate more time or a delay. Depression allows an individual to start processing the enormity of the loss. Finally, acceptance is reached when the individual acknowledges their situation and starts making meaningful plans for the time they have left or managing the loss they are dealing with.