Question

a nurse is caring for a client who has a terminal diagnosis and a 3-month life expectancy... a vacation next year. the nurse should identify that the client is experiencing which of...

bargaining
anger
depression
denial

Explanation:

Analyze the client's behavior

The client has a terminal diagnosis with a 3-month life expectancy but is actively planning a vacation for next year. This behavior demonstrates a refusal to accept the reality of the terminal prognosis and the limited lifespan.

Apply the Kübler-Ross model

The Kübler-Ross model of grief outlines five distinct stages: denial, anger, bargaining, depression, and acceptance.

• Denial is characterized by a refusal to believe or accept the reality of a loss or terminal diagnosis, often manifested by making long-term plans that extend far past the expected prognosis.
• Anger involves expressing frustration, resentment, or rage.
• Bargaining involves attempting to negotiate or make deals to delay the inevitable.
• Depression is marked by sadness, withdrawal, and mourning the impending loss.

Match behavior to the correct stage

Planning a vacation for next year despite a 3-month life expectancy is a classic defense mechanism representing Denial, as the client is acting as though the terminal diagnosis does not limit their lifespan.

Answer:

• Bargaining
• Anger
• Depression
• Denial (Correct answer)