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 ["A","D"]
Explanation
A. Shortage of personnel
A shortage of personnel is a significant cause of workplace stress for nurses. It often leads to increased workloads, longer hours, and decreased time for patient care, contributing to stress and burnout.
B. Communicating with colleagues
While communication can be challenging, it is not typically a primary cause of workplace stress. Effective communication is crucial but is more of a skill rather than a direct cause of stress.
C. Reduced workload
A reduced workload would generally not cause stress; instead, it might reduce stress. It could be seen as an opportunity for rest and recovery.
D. Increased acuity of patients
Increased patient acuity is a known cause of stress for nurses. It requires more intensive care, which can lead to higher stress levels due to increased demands and responsibilities.
E. Increase in available resources
An increase in available resources generally helps alleviate stress rather than causing it. More resources can support better patient care and reduce stress.
Correct Answer is ["A","B","D"]
Explanation
A. Showing respect for a client’s treatment decisions supports their autonomy and fosters a positive communication environment.
B. Conveying empathy acknowledges the client’s emotions and builds a supportive relationship.
C. Interrupting a client who is expressing feelings can hinder effective communication and is not respectful.
D. Using clear and simple language ensures the client understands the information being shared.
E. Crossing arms can be perceived as a defensive or closed-off posture, which can escalate conflict.
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