The nurse is working with a client who has recently been diagnosed with hypertension. Which of the following would be most therapeutic?
1. "What would you like to know about hypertension?"
2. "What concerns do you have about this diagnosis?"
3. "Do you know what hypertension is?"
4. "Does this diagnosis upset you?"
2
Rationale: With a new diagnosis, it is important to give the client time to think about how this will impact his life before attempting to begin teaching. Asking the client about his concerns, thoughts, or feelings about the diagnosis will allow the client time to digest the change in his life. This is particularly important when the diagnosis will have a major impact on his lifestyle. Asking what he wants to know assumes he knows enough about the diagnosis to answer the question. Directly asking what he knows would be a challenge, and would limit rapport. "Does the diagnosis upset you?" is a closed-ended question that will not supply much information to the nurse.
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