A nurse is caring for a client who has a new diagnosis of bladder cancer. Which of the following interventions should the nurse take to promote comfort?
Provide limited explanations of procedures needed for the client.
Provide honest answers to the client's questions.
Avoid eye contact with the client during care.
Avoid giving the client choices regarding their care.
The Correct Answer is B
Choice A reason : Provide limited explanations of procedures needed for the client.Providing limited explanations of procedures can increase anxiety and discomfort for clients, especially those facing a new cancer diagnosis. It is important to give comprehensive information to help them understand their condition and the treatments they will undergo.
Choice B reason : Provide honest answers to the client's questions.Providing honest answers to the client's questions is crucial in promoting comfort and trust. It allows the client to make informed decisions about their care and helps them to prepare mentally and emotionally for the treatments and their potential outcomes.
Choice C reason : Avoid eye contact with the client during care.Avoiding eye contact can make the client feel isolated and unimportant. Maintaining eye contact is a non-verbal way of showing respect, concern, and willingness to engage with the client.
Choice D reason : Avoid giving the client choices regarding their care.Avoiding giving choices can lead to a feeling of loss of control, which can be distressing for clients. It is important to involve clients in decisions about their care to promote their autonomy and comfort.
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Correct Answer is A
Explanation
Choice A reason : This response is patient-centered and collaborative. It acknowledges the client's concerns and preferences, which is crucial in managing diabetes effectively. By involving the client in the decision-making process, the nurse empowers the client to take an active role in their health care. This approach can lead to better adherence to dietary recommendations and improved glycemic control. It is also aligned with the principles of effective communication with patients living with diabetes, which emphasize understanding, empathy, and cultural competency.
Choice B reason : This statement is accusatory and could make the client feel guilty or blamed for their condition. It is not constructive and does not contribute to a positive therapeutic relationship. Diabetes mellitus is a complex disease with multiple risk factors, including genetics, lifestyle, and environmental factors. It is not helpful to oversimplify the cause of the disease to one factor, such as diet alone.
Choice C reason : While this statement may be true for some, it does not acknowledge the individual challenges the client may face in adjusting to a new diet. It is important to recognize that each person's experience with diabetes and dietary changes is unique. A more supportive approach would be to offer guidance and resources to help the client gradually adapt to the changes.
Choice D reason : This statement is presumptive and does not take into account the client's current feelings or potential difficulties they may encounter. While a healthier diet can lead to better health outcomes, it is essential to validate the client's feelings and provide support and education to help them understand the benefits of the dietary changes.
Correct Answer is A
Explanation
Choice A reason : Allow extra time to communicate with the client.Allowing extra time to communicate is essential when caring for clients with impaired speech. This approach respects the client's pace and supports their efforts to express themselves, which can be a time-consuming process. It also helps to reduce frustration and anxiety that the client may feel if rushed⁵.
Choice B reason : Ask open-ended questions.Asking open-ended questions to a client with impaired speech can be challenging for them to answer and may lead to frustration. Instead, it's recommended to ask yes/no questions or provide choices to facilitate easier communication⁵.
Choice C reason : Finish sentences for the client.Finishing sentences for a client with impaired speech is generally discouraged as it can lead to miscommunication and may make the client feel disempowered. It's important to allow the client to express themselves in their own words and time⁵.
Choice D reason : Avoid using visual aids for communication.Using visual aids can be very helpful for clients with impaired speech. Visual aids such as pictures, gestures, or writing can support understanding and expression, making communication more effective⁵.
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