Which of the following steps should the nurse take before breaking bad news to a patient and/or their family? Select all that apply.

Assume the patient (or patient's family) wants to know all the information you intend to share.

Finding out what the client and family already know.

Delegating the breaking of bad news to the in-hospital minister.

Controlling the environment.

Planning what is to be said ahead of time.

Answer and Explanation

Correct Answer : B,D,E

A. It is important to assess the patient’s and family’s desire for information rather than assuming they want all details.

B. Understanding what the client and family already know helps to provide information appropriately and fill gaps.

C. Breaking bad news should be done by a healthcare professional directly involved in the care, not delegated to a minister.

D. Controlling the environment ensures privacy and comfort during the conversation.

E. Planning what is to be said ensures that the information is communicated clearly and compassionately.

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Correct Answer is D

Explanation

A. Setting time limits for the interview based on cost is not a priority; the focus should be on obtaining a thorough health history.

B. Standing at the foot of the bed can create a physical barrier and reduce opportunities for eye contact. The nurse should sit at the patient’s level.

C. While sensitive topics should be approached with care, avoiding important questions can hinder obtaining a complete health history.

D. Closing the door ensures privacy and creates a conducive environment for a confidential conversation.

A. The nurse is able to resolve conflict and identify appropriate and attainable goals. B. The nurse experiences energy and excitement when providing nursing care. C. The nurse realizes that there is hope when caring for patients who are dying. D. The nurse is frustrated because of time constraints that were not experienced as a student.

Correct Answer is D

Explanation

A. Resolving conflicts and setting goals indicates adjustment, not reality shock.

B. Energy and excitement reflect an idealistic phase rather than the reality shock phase.

C. Realizing hope is a positive outcome and does not reflect the shock phase of transitioning.

D. Frustration due to time constraints reflects the reality shock phase where the graduate nurse encounters unexpected challenges.

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Which of the following steps should the nurse take before breaking bad news to a patient and/or their family? Select all that apply.

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse prepares to obtain a health history from a hospitalized patient. Which action by the nurse is appropriate?

Correct Answer is D

Explanation

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Correct Answer is D

Explanation

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