A nurse is completing a preoperative checklist for a client. The client tells the nurse. "I am not sure if I want the procedure after all." Which of the following responses should the nurse make?

"Why are you changing your mind about the procedure?"

"This procedure is perfectly safe."

"I will contact the provider to let her know."

"You should discuss your concerns with your family!"

Answer and Explanation

The Correct Answer is C

A.   "Why are you changing your mind about the procedure?" This question may come across as confrontational or judgmental. It does not directly address the client’s need for information or support.
B.   "This procedure is perfectly safe." This response is dismissive and provides false reassurance. The nurse should avoid minimizing the client's concerns.
C.   "I will contact the provider to let her know." When a client expresses uncertainty about undergoing a procedure, the nurse's priority is to notify the provider. The provider is responsible for addressing the client’s concerns, clarifying the procedure, and ensuring informed consent. The client's autonomy must be respected, and they have the right to withdraw consent at any time.
D.   "You should discuss your concerns with your family!" While family support can be helpful, the decision to proceed or not is ultimately between the client and the provider. Directing the client to the family may undermine their autonomy.

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Correct Answer is A

Explanation

A. "It sounds like you have concerns about the procedure." This therapeutic response acknowledges the client's feelings and encourages further discussion without judgment.
B. "Why have you decided not to have the procedure?" Asking "why" can make the client feel defensive and may hinder communication.
C. "Don't worry. You will adjust to the colostomy quickly." This statement dismisses the client's concerns and does not foster effective communication.
D. "Do you think that's the right decision for you and your family?" This question may pressure the client instead of promoting open dialogue.

A. "I do not want to have any surgery for my cancer." B. "I have contacted another surgeon to get a second opinion." C. "I will discuss treatment options next week after thinking about this." D. "I will take chemotherapy since my family wants me to."

Correct Answer is A

Explanation

A. "I do not want to have any surgery for my cancer." This indicates the client's decision to refuse treatment, and the nurse should advocate by respecting and supporting the client's autonomy.
B. "I have contacted another surgeon to get a second opinion." Seeking a second opinion demonstrates proactive decision-making and does not require advocacy.
C. "I will discuss treatment options next week after thinking about this." The client is demonstrating autonomy by requesting time to consider options.
D. "I will take chemotherapy since my family wants me to." This indicates external pressure rather than autonomous decision-making, necessitating the nurse's role as an advocate.

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A nurse is completing a preoperative checklist for a client. The client tells the nurse. "I am not sure if I want the procedure after all." Which of the following responses should the nurse make?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who is scheduled for a colostomy. The client tells the nurse to cancel the procedure. Which of the following responses should the nurse make?

Correct Answer is A

Explanation

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Correct Answer is A

Explanation

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