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 A

Explanation

A. This statement is aggressive and threatening.

B. This statement expresses concern but is not aggressive.

C. This statement is a request for reconsideration based on past experience but is not aggressive.

D. This statement shows understanding and willingness to follow the schedule, demonstrating assertiveness.

A. Offering approval or disapproval B. Asking for explanations C. Asking open-ended questions D. Offering sympathy

Correct Answer is C

Explanation

A. Offering approval or disapproval
Offering approval or disapproval can create a judgmental atmosphere and hinder open communication. Therapeutic communication focuses on understanding and supporting the patient without expressing judgment.

B. Asking for explanations
Asking for explanations can sometimes come across as interrogative or demanding. While it is important to understand patient concerns, therapeutic communication should be focused on exploring feelings and experiences rather than demanding explanations.

C. Asking open-ended questions
Open-ended questions encourage patients to share more about their thoughts and feelings, facilitating deeper and more meaningful conversations. This technique helps patients express themselves more freely and promotes effective therapeutic communication.

D. Offering sympathy
Offering sympathy, rather than empathy, can distance the nurse from the patient and may not address the patient’s needs as effectively. Therapeutic communication should focus on empathy, where the nurse understands and acknowledges the patient's feelings without feeling sorry for them.

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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

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