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. "It enables clients to see that other individuals have mental health issues." This option is partially correct because one of the benefits of group therapy is that it helps clients understand they are not alone in their struggles and that others share similar issues. This can be comforting and validating for clients.
B. "It provides a forum to reinforce client teaching regarding medication administration." This is not typically the primary function of group therapy. While medication education may occasionally be part of group discussions, the main focus of group therapy is on interpersonal interactions and support rather than specific teaching about medication.
C. "It is economical, since one staff member can treat many clients at once." Although group therapy can be cost-effective, this reason is secondary to its therapeutic value. The primary goal of group therapy is to provide therapeutic benefits through interaction and shared experiences rather than focusing on cost-efficiency.
D. "It establishes a situation where the client can relate to others and share perceptions." This option is the most accurate. Group therapy allows clients to relate to others with similar issues, share experiences, and gain support, which is fundamental to the therapeutic process.
Correct Answer is C
Explanation
A. "If you don't participate in your care, you will not get better." This statement is not therapeutic as it may be perceived as judgmental or coercive. It could further discourage the client, especially if they are struggling with motivation due to depression.
B. "You can remain in bed until you feel well enough to join the group." While this response shows empathy, it might inadvertently reinforce the client's avoidance behavior and contribute to further isolation. It is generally more beneficial to encourage gradual participation rather than allowing complete withdrawal.
C. "I will assist you in getting out of bed and getting dressed." This option is appropriate because it offers support and encouragement in a gentle, non-coercive manner. Assisting the client in small steps can help them overcome inertia and begin to participate more actively in their care.
D. "The unit rules state that clients may not remain in bed." This approach is likely to be perceived as rigid and punitive. It does not address the client’s emotional state or offer support, which is crucial for someone struggling with depression.
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