Which of the following steps should the nurse take before breaking bad news to a patient and/or their family? Select all that apply.
Assume the patient (or patient's family) wants to know all the information you intend to share.
Finding out what the client and family already know.
Delegating the breaking of bad news to the in-hospital minister.
Controlling the environment.
Planning what is to be said ahead of time.
Correct Answer : B,D,E
A. It is important to assess the patient’s and family’s desire for information rather than assuming they want all details.
B. Understanding what the client and family already know helps to provide information appropriately and fill gaps.
C. Breaking bad news should be done by a healthcare professional directly involved in the care, not delegated to a minister.
D. Controlling the environment ensures privacy and comfort during the conversation.
E. Planning what is to be said ensures that the information is communicated clearly and compassionately.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. While knowing the duration of hypertension is useful, it doesn’t directly inform the development of a teaching plan.
B. Asking what the patient knows about hypertension helps the nurse assess the patient’s current knowledge level, which is essential for creating an effective teaching plan.
C. Knowing if the patient is taking medications is important, but it is a more specific detail rather than a foundational assessment for teaching.
D. Understanding why salt is bad is specific information but does not assess the patient’s overall knowledge of hypertension.
Correct Answer is B
Explanation
A. “Would you like medication for the pain?”
This question is not specific to understanding the cause or nature of the back pain. It addresses only the patient’s desire for pain relief rather than gathering detailed information about the pain itself.
B. “What have you been doing in the last few days?”
This question helps the nurse gather specific information about the activities that may have contributed to or exacerbated the back pain. It is essential for understanding the context of the pain, such as recent physical activities, injuries, or changes in routine that might have led to the issue.
C. “What do you think caused the back pain?”
This question is less specific and can lead to subjective or inaccurate information. It shifts the responsibility of diagnosing the cause of the pain to the patient rather than seeking concrete details about recent activities.
D. “Do you have a family history of osteoporosis?”
While relevant to some aspects of back pain, this question is more focused on risk factors rather than gathering specific details about the current episode of back pain.
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