A client diagnosed with terminal cancer says to the nurse "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?
"I think you should talk with your family about your anger
"You are probably very depressed, which is understandable with such a diagnosis."
"Tell me more about how you are feeling"
"Why haven't you shared your feelings with your family?"
The Correct Answer is C
A. "I think you should talk with your family about your anger." This response shifts the focus to action without first exploring the client's feelings, which may not be therapeutic initially.
B. "You are probably very depressed, which is understandable with such a diagnosis." This response labels the client's emotions and may not be helpful in allowing the client to explore their feelings further.
C. "Tell me more about how you are feeling." This response uses therapeutic communication by encouraging the client to express feelings and concerns, providing emotional support and validation.
D. "Why haven't you shared your feelings with your family?" This response can sound accusatory and may not encourage open communication.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. Right Task: The right task refers to ensuring the task is appropriate to delegate. This situation is more about monitoring the task.
B. Right Communication: The right communication involves clear, concise instructions. This scenario involves oversight rather than instruction.
C. Right Supervision: Right supervision involves monitoring the task and providing guidance and feedback. Observing the UAP and ensuring the correct cuff size is being used demonstrates appropriate supervision.
D. Right Circumstance: The right circumstance refers to ensuring the client’s condition is appropriate for delegation. This situation is about supervising the task.
Correct Answer is B
Explanation
A. "There are no provider's prescriptions available." This statement is about the current situation or background, not a recommendation.
B. "The client should be seen by a neurologist." The Recommendation (R) step involves suggesting actions or solutions, such as recommending that the client be seen by a neurologist.
C. "The client is disoriented. Pupils are slow to respond to light." This statement belongs in the Assessment (A) step as it describes the nurse’s clinical findings.
D. "The client was found unconscious on the floor in her home." This statement provides background information (B) about the client’s situation.
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