A client diagnosed with terminal cancer says to the nurse "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?
"I think you should talk with your family about your anger
"You are probably very depressed, which is understandable with such a diagnosis."
"Tell me more about how you are feeling"
"Why haven't you shared your feelings with your family?"
The Correct Answer is C
A. "I think you should talk with your family about your anger." This response shifts the focus to action without first exploring the client's feelings, which may not be therapeutic initially.
B. "You are probably very depressed, which is understandable with such a diagnosis." This response labels the client's emotions and may not be helpful in allowing the client to explore their feelings further.
C. "Tell me more about how you are feeling." This response uses therapeutic communication by encouraging the client to express feelings and concerns, providing emotional support and validation.
D. "Why haven't you shared your feelings with your family?" This response can sound accusatory and may not encourage open communication.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. Tell the client they are wrong: Telling the client they are wrong is dismissive and does not foster a therapeutic relationship.
B. Ask the client why they think that way: Asking the client why they think that way may provide insight, but it does not clarify the difference between an allergy and an intolerance.
C. Ignore the comment and proceed with the teaching plan: Ignoring the comment is not appropriate as it fails to address the client’s concern and provide necessary education.
D. Explain to the client the difference between medication intolerance and allergy: This response provides education and clarifies the difference, helping the client understand their reaction to the medication.
Correct Answer is B
Explanation
A. Lean gently over the back of a chair with legs crossed: This posture may appear informal and disinterested.
B. Sit in front of the client at eye level and lean forward: Sitting at eye level and leaning forward shows attentiveness and engagement, enhancing the importance of the education.
C. Have their cell phone visible and diverting the eyes to check messages: Checking a cell phone is distracting and shows a lack of attention and respect for the client.
D. Cross her arms over her chest and avoid eye contact: Crossing arms and avoiding eye contact can be perceived as defensive and uninterested.
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