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 C
Explanation
A. A client with delusions states, "I'm going to get them before they get to me" This statement is concerning because it suggests a potential threat. However, it is vague and does not specify a particular individual or group. While it warrants further assessment and monitoring, it may not immediately trigger a duty to warn a specific third party without more information.
B. A client says he plans to blow up the government. This statement indicates a threat to a broad and non-specific target (the government). While it is serious and requires intervention, it does not fall under the typical duty to warn a specific third party. Instead, it would likely involve notifying authorities to prevent potential harm.
C. A client states "If I can't have my girlfriend back, then no one can have her." This statement is a direct threat to a specific individual (the girlfriend), indicating potential harm. In such cases, the nurse has a duty to warn the third party and take appropriate steps to ensure their safety.
D. A hostile client says "I hate all police" While this statement indicates hostility, it does not specify a direct threat of harm or action, so it may not necessarily indicate an immediate duty to warn.
Correct Answer is C
Explanation
A. "Why do you think your father chose that time and place to yell at you?" This question might come across as blaming or accusatory, potentially making the client defensive.
B. "Well it sounds like your father has difficulty controlling his temper." This statement focuses on the father's behavior rather than the client's feelings, which isn't empathetic.
C. "You must have been embarrassed when your father yelled at you in the grocery store." This response acknowledges and validates the client's feelings, demonstrating empathy.
D. "You really should find your own housing and get out of the situation with your father." This advice-giving response might seem insensitive to the client's current situation and lacks empathy.
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