A young adolescent client is in the hospital preparing for major surgery for the removal of a tumor on the kidney. The client's mother tells the nurse that she doesn't want the child to receive narcotics for pain postoperatively
Which is the best response by the nurse?
A) "Okay, I'll tell the healthcare provider not to order any. Are you sure you want to do this?"
B) "The pain will be severe. Why don't we ask your child about this?"
C) "The pain for your child will be severe after surgery. Can you tell me why you feel this way?"
D) "You do not have a choice of medication. Decisions involving pain relief are up to the healthcare providers."
Answer: C
As a client advocate, the nurse would defend the need for effective pain medication by using assertive communication. The nurse tells the mother the truth about pain and then proceeds to explore the mother's objection to the drugs. Acceding to the request of the mother is submissive communication and would not be in the best interests of the child. Telling the mother she does not have a choice is aggressive and untrue. Putting the child in the middle of the discussion is a divisive maneuver.
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