A client diagnosed with terminal cancer says, “I’m going to die, and I wish my family would stop hoping for a cure. I get so angry when they carry on like this.
After all, I’m the one who’s dying.”. Which response by the nurse is therapeutic?
Why haven’t you shared your feelings with your family?
Tell me more about how you are feeling.
You are probably very depressed, which is understandable with such a diagnosis.
I think you should talk with your family about your career.
The Correct Answer is B
Choice A rationale
Asking why the patient hasn’t shared their feelings with their family is not therapeutic. It can come across as judgmental and may not encourage open communication.
Choice B rationale
Asking the patient to tell more about how they are feeling is therapeutic. It shows empathy and encourages the patient to express their emotions, which can be helpful in processing their feelings.
Choice C rationale
Telling the patient they are probably very depressed is not therapeutic. It labels their feelings and may not encourage further discussion.
Choice D rationale
Suggesting the patient talk with their family about their career is not relevant to the patient’s current emotional state and concerns.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A rationale
Following the order as prescribed without clarification can lead to errors if the order is unclear or incomplete.
Choice B rationale
Administering the medication at a later time without clarification can also lead to errors and may delay necessary treatment.
Choice C rationale
Disregarding the order and seeking approval from another physician is not appropriate. The nurse should seek clarification from the ordering physician.
Choice D rationale
Asking the physician to clarify the dosage and route ensures that the order is accurate and complete, reducing the risk of medication errors.
Correct Answer is B
Explanation
Choice A rationale
Encouraging the patient to rely on their knowledge is not sufficient. Patients may not have the necessary understanding or skills to manage a new medication safely. It is important for the nurse to provide comprehensive education on the medication.
Choice B rationale
Reviewing the medication administration technique with the patient ensures they understand how to take the medication correctly. This includes the dosage, timing, and any specific instructions related to the medication. Proper education helps prevent medication errors and promotes adherence to the prescribed regimen.
Choice C rationale
Instructing the patient to avoid contacting healthcare providers with questions is incorrect. Patients should be encouraged to reach out to their healthcare providers if they have any questions or concerns about their medication. This ensures they have the support they need to manage their medication safely.
Choice D rationale
Providing the patient with written instructions only is not sufficient. While written instructions are helpful, they should be supplemented with verbal education and a demonstration if necessary. This ensures the patient fully understands how to take their medication and can ask questions if needed.
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