During the end-of-shift report, the nurse notes that the patient had been very nervous and preoccupied during the evening and that no family visited

To determine the amount of anxiety that the patient is experiencing, how should the nurse respond to the patient? a. "Would you like to have me call a family member to come and support you?"
b. "Would you like to go down the hall and talk with another patient who had the same surgery?"
c. "How serious do you think your illness is?"
d. "You seem worried about something. Would it help to talk about it?"


D

Feedback
A Asking if the patient desires for family to be called is not assessing the patient's level of anxiety.
B The nurse should first focus on developing a trusting relationship with the patient. If the nurse takes the patient to visit someone who had the same surgery, the nurse would not be able to assess the patient's current level of anxiety.
C "How serious do you think your illness is?" is not the best response. It does not assess the amount of anxiety the patient is currently experiencing.
D The nurse learns from the patient both by asking questions and by making observations of nonverbal behaviour and the patient's environment. To determine the amount of anxiety the patient is experiencing, the nurse gathers information from the patient's perspective.

Nursing

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