A business executive is in the cardiac care unit (CCU) after a myocardial infarction. When the patient is told that it is not possible to have a telephone in the room, the patient angrily berates the nurse and demands to see a physician
Which response by the nurse would be the most therapeutic? a. "I'll call your physician.".
b. "I'll arrange for you to have a telephone.".
c. "I can see that being ill is difficult for you.".
d. "You are just too ill to make business calls.".
C
Empathy shown by the nurse's response may pave the way for discussion of the effect and meaning of illness for the patient. Arranging for a personal telephone is not therapeutic since it is not permitted and is likely to increase the patient's stress level. The remaining options are nontherapeutic since they do not positively address the patient's anger.
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