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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?

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.

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