The nurse is caring for a patient who has been sullen and quiet for the past three days. Suddenly, he says, "I'm really nervous about surgery tomorrow, but I'm more worried about how it will affect my family." What should the nurse do?
a. Assure the patient that everything will be all right and continue what she/he is doing.
b. Tell the patient that whatever happens is out of his control, so he shouldn't worry.
c. Stop what he/she is doing (if possible) and ask the patient to expand on his statement.
d. Contact hospital clergy to come and talk with the patient.
ANS: C
A nurse needs to be able to give patients full, focused attention as they tell their stories. It is easy to become distracted by tasks at hand, colleagues shouting instructions, or other patients waiting to have their needs met. However, the time taken to listen effectively is worthwhile both in the information gained and in strengthening of the nurse-patient relationship. Although contacting clergy could be an appropriate measure for this patient, the nurse should first listen to what the patient is saying. By observing expressions and body language of the patient, the nurse will find cues to assist the patient in exploring ways to achieve greater peace.
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