A nurse is assisting with the admission of a client who is about to undergo surgery for benign prostatic hypertrophy. The client states, "I don't know what I will do if they discover I have cancer." Which of the following responses should the nurse make?
"Why do you think you might have cancer when your diagnosis is a benign condition?"
"I think that's something you need to discuss further with your doctor."
"I have reviewed your history and I don't see any reason for you to worry about that."
"I'm hearing that you are concerned that you could have cancer."
The Correct Answer is D
A. "Why do you think you might have cancer when your diagnosis is a benign condition?" This response is not therapeutic as it questions the client’s concerns in a dismissive manner and could increase anxiety.
B. "I think that's something you need to discuss further with your doctor." This response deflects the issue to the doctor and does not provide immediate support or acknowledgment of the client's feelings.
C. "I have reviewed your history and I don't see any reason for you to worry about that." This response may minimize the client’s concerns and does not address the client's emotional state effectively.
D. "I'm hearing that you are concerned that you could have cancer."This is the most therapeutic response as it acknowledges the client’s fears and provides an opportunity for further discussion and emotional support.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. Severe: Severe anxiety includes difficulty focusing and physical symptoms but does not typically involve the ability to communicate effectively.
B. Mild: Mild anxiety may include slight nervousness but not the described behaviors.
C. Panic: Panic anxiety involves a complete inability to communicate and can include a sense of impending doom.
D. Moderate: Moderate anxiety can include increased speech rate and loudness, along with repetitive statements. While the client is exhibiting signs of distress, the symptoms described don't quite reach the intensity typically associated with severe anxiety.
Correct Answer is D
Explanation
A. Role reversal: Role reversal occurs when individuals switch roles with each other, which is not applicable in this context.
B. Unconditional regard: Unconditional positive regard refers to showing complete acceptance of the client regardless of their actions or behaviors. This term does not describe the phenomenon of the nurse's feelings based on past experiences.
C. Transference: Transference is when a client projects feelings about someone from their past onto the therapist or nurse. This term does not describe the nurse's feelings based on past experiences.
D. Countertransference: Countertransference occurs when a nurse develops feelings toward a client based on the nurse's own past experiences or emotions. This is the correct term for the situation described.
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