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This is a physical finding, not a psychosocial one. However, poor sleep quality can affect the client's mood, energy, and immune function, so the nurse should address this issue and suggest strategies to improve sleep hygiene and comfort.

This is a risk factor for developing psychosocial distress related to chronic illness, but it is not a finding in itself. The nurse should assess the client for signs and symptoms of depression and anxiety, such as low mood, hopelessness, excessive worry, nervousness, or changes in appetite or weight. The nurse should also monitor the client for suicidal ideation or behavior and provide appropriate interventions as needed.

This is a positive finding, as it indicates that the client is interested in learning more about the disease and participating in decision-making. The nurse should provide accurate and honest information, clarify any misconceptions, and address any concerns or questions that the client may have.

This response is dismissive of the client's feelings and may sound unrealistic or insensitive. While providing information about treatments is important, it should not be done without acknowledging and validating the client's emotions first.

This response is supportive but does not address the core issue of low self-esteem and negative self-image. The nurse should also help the client explore their own sense of identity and worth beyond their relationships with others.

This response is empowering but may sound patronizing or demanding if the client is feeling overwhelmed or discouraged by their situation. The nurse should also respect the client's pace and readiness to make changes or take action.

This is an important step in understanding the client's perspective and addressing their underlying issues, such as depression, hopelessness, grief, or loss of control. However, it should not be done before ensuring the client's safety and assessing their risk of suicide.

This is a necessary action, but not the best initial one. The nurse should first assess the client's risk of suicide and ensure their safety before contacting the health care provider and the mental health team.

This is an inappropriate action, as it ignores the client's feelings and may sound judgmental or coercive. The nurse should not try to persuade or convince the client to change their mind without first acknowledging and validating their emotions and exploring their reasons for wanting to die.

This response is empathetic but may sound dismissive or minimizing of the client's feelings. The nurse should acknowledge and validate the client's emotions before providing reassurance or information.

This response is judgmental and blaming, which can damage the therapeutic relationship and increase the client's defensiveness or resistance to quitting smoking. The nurse should avoid using words such as "should" or "must" that imply obligation or pressure.

This response is supportive but may sound presumptuous or premature if the client is not ready or willing to quit smoking. The nurse should assess the client's stage of change and readiness to quit before offering resources or assistance.