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 A
Explanation
A. Shorter and more frequent hospital stays for persons with severe and persistent mental illness. The "revolving door effect" in mental health care refers to the pattern of individuals with severe and persistent mental illness being repeatedly admitted and discharged from hospitals due to inadequate community-based support systems. This cycle often leads to poorer outcomes for patients, increased costs, and challenges in providing effective care
B. Flexible treatment settings for mentally ill is not accurate as it implies a positive approach to care, which is opposite to the revolving door effect.
C. Most effective and least expensive treatment settings is also incorrect as the revolving door effect is generally associated with higher costs and less effective care.
D. An overall reduction in incidence of severe mental illness: This is the opposite of the "revolving door effect," which implies ongoing issues with severe mental illness management.
Correct Answer is D
Explanation
A. Express sympathy for the client during interaction: Sympathy can create a sense of pity and isn't as effective as empathy, which fosters understanding.
B. Assist the client in decision-making by giving sound advice: Giving advice can undermine the client's autonomy and may not be suitable in therapeutic communication.
C. Tell the client that he should make direct eye contact when communicating verbally: Forcing direct eye contact can be intimidating for someone who is depressed.
D. Watch the client for nonverbal cues: Observing nonverbal cues can provide valuable information about the client's emotional state and needs.
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