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 D
Explanation
A. The patient develops maladaptive coping strategies.
This indicates a negative response to imagery, as maladaptive coping strategies are not a favorable outcome.
B. The patient’s immune response is suppressed.
A suppressed immune response is a negative outcome and suggests that the imagery is not having a beneficial effect.
C. The patient’s healing time is increased.
Increased healing time indicates that the imagery is not effectively supporting the patient’s recovery or well-being.
D. The patient’s blood pressure is better controlled.
This indicates a positive response to imagery. Effective use of imagery can lead to improved physiological responses such as better blood pressure control, showing that the technique is helping the patient.
Correct Answer is A
Explanation
A. Briefly stating a reason and suggesting a solution is an effective and assertive way to say no.
B. Providing a detailed excuse is unnecessary and can be seen as over-explaining.
C. Projecting the voice and giving several excuses can come off as defensive and unassertive.
D. Hesitation and avoiding eye contact undermine the effectiveness of saying no.
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