A patient with metastatic brain cancer says, "I'm dying, but I'm still living. I want to be in control as long as I can." Which reply shows the nurse was actively listening?
a. "Our staff will do their best to help you feel comfortable."
b. "Most people do not know how to help and are afraid of death."
c. "Your mind and spirit are healthy, although your body is frail."
d. "You want people to stop focusing on your weaknesses."
ANS: C
The patient is asking for acknowledgment that he or she is not totally sick; even in the terminal state, strengths and capabilities are present. The correct response provides that acknowledgment. The other responses are tangential.
You might also like to view...
Which point should a counselor include when telling a couple about the prenatal diagnosis of genetic disorders?
a. Diagnosis can be obtained promptly through most hospital laboratories. b. Common disorders can be quickly diagnosed through blood tests. c. A comprehensive evaluation will result in an accurate diagnosis. d. Diagnosis may be slow and could be inconclusive.
A community mental health nurse has been working for 6 months to establish a trusting relationship
with a delusional and suspicious client. The client recently lost his job, stopped taking medication because he had no money, and then decompensated. The client states "only a traitor would make me go to the hospital.". The nurse must decide whether to arrange for hospitalization or try to provide medication so he can remain at home. The solution most in keeping with current practices in health care calls for a. hospitalization for up to a week. b. negotiating a way to provide medication. c. hospitalization until he is asymptomatic. d. arranging for a bed in a homeless shelter.
The nurse is performing an admission of a 10-year-old boy. Which of the following actions will help the nurse establish a trusting and caring relationship with the child and his family? Select all answers that apply
A) The nurse should not minimize the child's fears by smiling. B) The nurse should initiate introductions. C) The nurse should not use formal titles at the introduction. D) The nurse should maintain eye contact at the appropriate level. E) The nurse should start communication with the child first and then move on to the family. F) The nurse should use age-appropriate communication with the child.
The health care provider has recommended an iron supplement for the patient who is 20 weeks pregnant. The nurse is reviewing the recommendation with the patient. What fluid is best for the nurse to recommend when taking an iron supplement?
a. 8 ounces of milk b. 8 ounces of water c. 4 ounces of orange juice d. 4 ounces of apple juice