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    Ati 0926 Beg Med Surg Proctored Exam Cms Equivalent

    A nurse is caring for a client who has a new diagnosis of chronic kidney disease. Which of the following statements should the nurse identify as an Indication of anticipatory grieving?

    Explanation & Rationale

    A. "I just can't believe that this dialysis is going to ruin my whole life.": The client is expressing distress and mourning the anticipated lifestyle changes and losses associated with chronic kidney disease and dialysis. It demonstrates emotional processing of future challenges. B. "I know that kidney disease runs in my family, but I can prevent it.": This statement reflects a sense of control and optimism rather than anticipatory grieving. The client is focusing on prevention, not mourning anticipated loss. C. "I can now eat whatever I want. The dialysis will remove it from my system.": This statement indicates misunderstanding or denial of treatment limitations, not anticipatory grieving. It reflects a lack of knowledge about dietary restrictions rather than emotional processing. D. "I know that I will get a kidney transplant. I am a good candidate.": This reflects hope and positive expectation, which is different from anticipatory grieving. The client is focusing on potential future gain rather than acknowledging expected loss.

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