A man has been admitted to the observation unit for observation after being treated for a large cut on his forehead. As the nurse works through the interview, one of the standard questions has to do with alcohol, tobacco, and drug use
When the nurse asks him about tobacco use, he states, "I quit smoking after my wife died 7 years ago." However, the nurse notices an open pack of cigarettes in his shirt pocket. Using confrontation, the nurse could say:
a.
"Mr. K., I know that you are lying."
b.
"Mr. K., come on, tell me how much you smoke."
c.
"Mr. K., I didn't realize your wife had died. It must be difficult for you at this time. Please tell me more about that."
d.
"Mr. K., you have said that you don't smoke, but I see that you have an open pack of cigarettes in your pocket."
ANS: D
In the case of confrontation, a certain action, feeling, or statement has been observed, and the nurse now focuses the patient's attention on it. The nurse should give honest feedback about what is seen or felt. Confrontation may focus on a discrepancy, or the nurse may confront the patient when parts of the story are inconsistent. The other statements are not appropriate.
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