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?
Why haven’t you shared your feelings with your family?
Tell me more about how you are feeling.
You are probably very depressed, which is understandable with such a diagnosis.
I think you should talk with your family about your career.
The Correct Answer is B
Choice A rationale
Asking why the patient hasn’t shared their feelings with their family is not therapeutic. It can come across as judgmental and may not encourage open communication.
Choice B rationale
Asking the patient to tell more about how they are feeling is therapeutic. It shows empathy and encourages the patient to express their emotions, which can be helpful in processing their feelings.
Choice C rationale
Telling the patient they are probably very depressed is not therapeutic. It labels their feelings and may not encourage further discussion.
Choice D rationale
Suggesting the patient talk with their family about their career is not relevant to the patient’s current emotional state and concerns.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A rationale
Sharing the story without mentioning the patient’s name can still be a violation of patient privacy and HIPAA regulations.
Choice B rationale
Asking the patient’s family members for permission is not sufficient. The patient must provide consent.
Choice C rationale
Verifying if the patient has a public relations officer is not relevant. The patient’s consent is required.
Choice D rationale
Obtaining written consent from the patient is necessary to ensure compliance with HIPAA regulations and to protect patient privacy.
Correct Answer is C
Explanation
Choice A rationale
A newly admitted client with a seizure disorder requires close monitoring and assessment, which is beyond the scope of practice for a nursing assistant.
Choice B rationale
A post-op laparotomy client who is waiting for discharge instructions requires specific education and assessment, which is beyond the scope of practice for a nursing assistant.
Choice C rationale
A client who needs assistance with feeding is the correct answer. Assisting with feeding is within the scope of practice for a nursing assistant.
Choice D rationale
A dehydrated client with an electrolyte imbalance requires close monitoring and assessment, which is beyond the scope of practice for a nursing assistant.
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