RN Nursing · Grief, Loss, and Palliative Care · Practice question
A nurse is caring for a client who has terminal cancer. The client tells the nurse. "l don't want any more treatment; just make me comfortable." The nurse should document that the client is in which of the following stages of grief?
-
Depression
-
✓
Acceptance
-
Bargaining
-
Denial
Answer & explanation
Correct: Acceptance
According to Kübler-Ross's five stages of grief — denial, anger, bargaining, depression, and acceptance — a client who states they no longer want treatment and simply wants comfort is demonstrating acceptance. In this stage, the individual has come to terms with their prognosis, is no longer fighting or negotiating, and focuses on making the time remaining as comfortable and meaningful as possible. This is a peaceful, resigned orientation toward the end of life. Depression in the grief model is characterized by profound sadness, withdrawal, and hopelessness, not a calm decision-making stance. Bargaining involves making deals or promises in exchange for a change in outcome, such as asking for more time or agreeing to treatment in hopes of a cure. Denial involves refusing to believe the diagnosis or prognosis is real. The client's statement reflects clarity and peace about their situation, which is the hallmark of acceptance. It is important to note that these stages are not linear and not everyone experiences all of them, but the clinical picture described most closely matches acceptance.
Practise Grief, Loss, and Palliative Care questions
Work through full question sets with instant rationales, timed exams, and progress tracking.
Start practising freeRelated practice questions
- A nurse is providing postmortem care for an adult client. Which of the following actions should the nurse take? (Select all that apply.)
- A patient has just heard that a close family member has died. Which observation would indicate to you that the patient is experiencing grief about the loss?
- A nurse is caring for a client recently diagnosed with a terminal illness. The client states, "Why me? I have always been good to everyone." Based on Kubler-Ross, the nurse knows the client's response represents what stage of grief?
- A patient with a terminal illness agrees to receive palliative care. Which intervention would you identify for the patient at this time?