An older adult client with heart disease tells the nurse, "I am sick because I sinned by smoking cigarettes." Which response by the nurse is appropriate?

Question

A) "Smoking cigarettes isn't a sin. There are many worse habits you could have."
B) "Cigarette smoking was desirable when you began smoking. We didn't know about the problems it could cause."
C) "Why don't we call the hospital chaplain and you can pray about your sins?"
D) "You are correct, but it is too late to do anything about it now."

Answer 1

Answer: B

This client is in distress and is seeking forgiveness. The nurse should offer this forgiveness and a reason the forgiveness is valid. If the nurse tells the client that it is too late to do anything about the problem, there is a possibility that distress will increase. Suggesting that the hospital chaplain be called for prayer reinforces the idea that smoking cigarettes is a sin. Saying there are worse habits minimizes the client's concerns and does not offer forgiveness.