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 B
Explanation
Choice A rationale
Ignoring the error, even if it does not affect patient care, is incorrect. Ignoring errors can lead to a culture of complacency and potentially more significant errors in the future. It is essential to address all errors to maintain accurate records and ensure patient safety.
Choice B rationale
Drawing a single line through the error, initialing, and dating it is the correct action. This method maintains the integrity of the medical record while clearly indicating that an error was made and corrected. It ensures transparency and accountability in documentation.
Choice C rationale
Leaving the error as is and informing the nurse manager is not the best practice. While informing the nurse manager is important, the error should be corrected in the medical record to prevent any potential confusion or miscommunication.
Choice D rationale
Erasing the incorrect entry and writing the correct one is incorrect. Erasing or obliterating entries in a medical record is not allowed as it can be seen as tampering with the record. It is crucial to maintain the original entry and make corrections transparently.
Correct Answer is D
Explanation
Choice A rationale
Using a nicotine patch to assist in smoking cessation involves the psychomotor domain of learning, which focuses on physical skills and actions.
Choice B rationale
Starting to use nicotine gum as part of the cessation plan also involves the psychomotor domain of learning, which focuses on physical skills and actions.
Choice C rationale
Encouraging the client to share their feelings about smoking involves the affective domain of learning, which focuses on emotions, attitudes, and values.
Choice D rationale
Explaining the benefits of smoking cessation involves the cognitive domain of learning, which focuses on knowledge, understanding, and intellectual skills.
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