Mrs. Brown, a 48-year-old woman, is living with a diagnosis of breast cancer. She has just come into the oncology clinic for her third round of chemotherapy. When asked how she is doing. Mrs. Brown starts speaking about how tired she is and how she is feeling burdened with keeping secrets from her daughter. Mrs. Brown has not told her daughter about her cancer diagnosis because she is afraid of how her daughter might react. Mrs. Brown says she is just barely holding on to things at this time, and she cannot take much more. She is also concerned about the chemotherapy and what she can expect, because the side effects are getting more intense. Consider Mrs. Brown in the critical thinking activities that follow. Critical thinking activities 1. Think about Parse's (2014) living the art of nursing-illuminating meaning (explicating), shifting rhythms (dwelling with), and inspiring transcending (moving with). Nurses live true presence with persons, and this means centering and preparing to bear witness to Mrs. Brown's reality. To invite Mrs. Brown to speak, the nurse may initially ask her to say more about her situation. In the cadence of speech, Mrs. Brown may pause, giving the nurse an opening to pose questions that assist Mrs. Brown's exploration of how she is feeling. The nurse may ask: "What is the burden about? What does it mean? What does she think will happen if her daughter gets upset?"

The complete question is found in the attachment

Explanation:

Parse's Human Becoming theory illustrates the importance of quality of life. The nurse along with medical care should also concentrate on the meeting of biological, psychosocial, and spiritual needs. The theory mainly focuses on three main themes such as meaning, rhythmicity, and transcendence. The individual is coexisting with the situation, universe, and emerging values. In this case, Mrs. Brown living with a burden(meaning) by hiding her diagnosis to the daughter(rhythmic pattern), and constantly transform her thoughts of how will her daughter perceive this situation(transcendence). Nursing is the art of science and approaches the person with a total paradigm. The nurse has to speak openly more with this patient to express their feelings. Make the patient interact with her daughter and make her daughter understand her condition. The patient should realize that the daughter should perceive the value of mother and will help in the recovery of the patient. Make the patient interact with society as normally before to fulfill her roles. Change her concepts of thoughts by living with the goal of improving the quality of life.

answer is b

  a   having low self-esteem

  b   having abusive family members

  c   having poor school attendance

  d   having friends who discuss gang life

living torture and being abused makes one not mind harming other people.

and also not being supported and abusing one turns one into this state.