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    Ati Lpn Comprehensive Predictor 2023 Proctored Exam

    A nurse is assisting with the care of a client whose partner died suddenly in a motor vehicle accident. The partner states, "If only I had another day with them." The nurse should identify the client is experiencing which of the following reactions to the loss?

    Explanation & Rationale

    A. Bargaining: The client’s statement, “If only I had another day with them,” reflects an attempt to negotiate or reverse the loss, characteristic of the bargaining stage of grief. This reaction often involves “what if” or “if only” thoughts as the individual tries to regain control or postpone the inevitable reality of death. B. Denial: Denial involves refusal to accept the reality of the loss, often characterized by statements such as “This can’t be happening” or disbelief. The client in this scenario acknowledges the death, so denial is not the primary reaction. C. Depression: Depression manifests as persistent sadness, withdrawal, hopelessness, or disinterest in daily activities. While grief may lead to depressive symptoms, the client’s expressed thought indicates bargaining rather than a pervasive depressive state. D. Anger: Anger is expressed as frustration, irritability, or resentment toward others, circumstances, or oneself. The client’s focus is on wishing for more time rather than exhibiting hostility or blame, so anger is not the primary reaction.

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