A nurse is working on a telemetry unit when one of the clients has a cardiac arrest. The client's spouse is in the room when the code team arrives. Which statement by the nurse to the spouse is the best in this situation?
1. "I know you're worried about your loved one. I'm sure this is a difficult situation for you. Do you have any questions right now?"
2. "Your spouse's heart stopped. All these people are here to help get it started."
3. "Your spouse's physician will be here shortly and explain all of the medication and treatment that your spouse is receiving right now."
4. "Is there someone you would like to call? I'm sure this is a scary situation and you may feel more comfortable if someone were with you during this time."
Correct Answer: 2
Rationale 1: Dealing with the spouse's fears and concerns right now is not the priority need—the client's emergency situation is.
Rationale 2: Clarity and brevity provide a message that is simple and clear.
Rationale 3: In this situation, taking time to explain and/or address all of the spouse's needs and concerns is inappropriate. Not only will the client be unable to process extra information, but the nurse doesn't have time to give long, drawn-out explanations about the situation.
Rationale 4: In this situation, taking time to explain and/or address all of the spouse's needs and concerns is inappropriate. Not only will the client be unable to process extra information, but the nurse doesn't have time to give long, drawn-out explanations about the situation.
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