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
Explanation
A. Clarification helps the nurse understand the client's feelings and concerns by rephrasing or restating what the client has said.
B. Providing information would involve giving details about the procedure, not exploring the client's feelings.
C. Summarizing involves pulling together the main points of a discussion, rather than exploring specific concerns.
D. Confrontation involves addressing discrepancies or conflicts in a client's statements or behavior, which is not applicable in this situation.
Correct Answer is A
Explanation
A. This response dismisses the mother's feelings and offers a solution without addressing her emotional concerns. It does not support or validate her feelings, which is considered nontherapeutic.
B. This is a therapeutic response as it seeks to understand and validate the mother’s feelings.
C. This is a therapeutic response as it involves empathetic nonverbal communication.
D. This is a therapeutic response as it acknowledges and validates the mother’s feelings.
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