A 58-year-old male patient has been hospitalized for a wedge resection of the left lower lung lobe after a routine chest x-ray shows carcinoma. The patient is anxious and asks if he can smoke. Which statement by the nurse would be most therapeutic?
A) "Smoking is the reason you are here."
B) "The doctor left orders for you not to smoke."
C) "You are anxious about the surgery. Do you see smoking as helping?"
D) "Smoking is OK right now, but after your surgery it is contraindicated."
Ans: C
Feedback:
Stating "You are anxious about the surgery. Do you see smoking as helping?" acknowledges the patient's feelings and encourages him to assess his previous behavior. Saying "Smoking is the reason you are here" belittles the patient. Citing the doctor's orders does not address the patient's anxiety. Sanctioning smoking would be highly detrimental to this patient.
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When a nurse and client meet informally or have an otherwise limited but helpful relationship, the relationship is referred to as
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