A client diagnosed with terminal cancer says, “I’m going to die, and I wish my family would stop hoping for a cure. I get so angry when they carry on like this.
After all, I’m the one who’s dying.”. Which response by the nurse is therapeutic?

Choice A rationale
The client speaking another language is an important factor to consider, but it is not the most comprehensive factor. Language barriers can affect communication and understanding, but they can be addressed with interpreters and translation services. Considering the client’s culture encompasses language and other cultural aspects that influence healthcare.
Choice B rationale
The client having decreased vision but wearing glasses is a specific factor related to sensory perception. While it is important to consider, it does not encompass the broader cultural context that can impact healthcare. Addressing vision issues is part of a comprehensive assessment, but culture provides a more holistic understanding.
Choice C rationale
The client having hearing loss but functioning hearing aids is another specific factor related to sensory perception. It is important to consider for effective communication, but it does not provide a comprehensive understanding of the client’s cultural background and its impact on healthcare.
Choice D rationale
The client’s culture is the most comprehensive factor to consider. Culture influences health beliefs, practices, communication styles, and decision-making. Understanding the client’s cultural background helps the nurse provide culturally competent care, build trust, and address any potential cultural barriers to healthcare.

Choice A rationale
Recording the circumstances and possible reasons for the incident is an appropriate action when filing a safety event report. It provides a detailed account of what happened, which is essential for understanding the incident and preventing future occurrences.
Choice B rationale
Providing minimal information about the incident is not appropriate. A safety event report should be thorough and include all relevant details to ensure that the incident is fully understood and addressed.
Choice C rationale

Completing the report 72 hours after the incident is not appropriate. Safety event reports should be completed as soon as possible after the incident to ensure that all details are accurately recorded.
Choice D rationale
Including suggestions on how to prevent future incidents is not typically part of the safety event report. The report should focus on documenting the incident itself, while recommendations for preventing future incidents can be addressed separately.