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. “What do you think about the accuracy of my assessments?”
This request is specific and focused on a particular aspect of the nurse’s performance. Asking for feedback on the accuracy of assessments helps the new nurse receive actionable information that can improve their skills and knowledge.
B. “I still feel incompetent but would like some feedback.”
This request is vague and focuses on the nurse’s personal feelings of incompetence rather than specific aspects of performance. It is not as effective for obtaining constructive feedback.
C. “I would like to know my strengths and weaknesses.”
While this request is more structured than B, it is still somewhat broad. Effective feedback typically focuses on specific areas rather than general strengths and weaknesses.
D. “How do you think I am doing?”
This request is too broad and lacks specificity. It may result in vague or general feedback rather than detailed, actionable insights.
Correct Answer is A
Explanation
A. Suggesting a positive aspect of breastfeeding, such as bonding, can influence the patient’s attitude towards breastfeeding.
B. This focuses on a potential disadvantage of breastfeeding, which may discourage the patient.
C. This highlights a risk, which may cause concern or anxiety.
D. This points out a caution but does not influence the patient's attitude in a positive manner.
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