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. Verbal abuse is unacceptable and should be addressed to ensure a respectful and supportive work environment.
B. This response does not acknowledge the inappropriateness of the staff nurses’ behavior.
C. Minimizing the behavior as unintentional does not address the issue of verbal abuse.
D. Jokes at the expense of others are not acceptable, and attributing the behavior to stress dismisses the impact of verbal abuse.
Correct Answer is C
Explanation
A. Closed-ended questioning involves yes/no or brief answers, which is not the case here.
B. Empathizing would involve expressing understanding of the client's feelings rather than asking for more information.
C. Focusing directs the conversation to a specific topic or concern, which the nurse does by asking about the client's specific concerns.
D. Summarizing involves reviewing and organizing information, which is not happening here.
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