A 19-year-old student has had a breast biopsy and is nervous about the results. The resident physician peeks into her room and says, "The biopsy is negative.". The nurse finds the student in her room sobbing
What is the nurse's best response to this situation? 1. "Why are you crying with such good news?"
2. "What did the physician tell you?"
3. "You seem upset. Do you want to talk to me about the test results?"
4. "The term ‘negative' in this case is good!"
3. "You seem upset. Do you want to talk to me about the test results?"
Rationale:
The nurse does not know specifically what the client is sobbing about and should ask the client an open-ended question so the client can talk. The physician, in delivering important news to the client, should have taken time to sit with her to discuss the results of the test. In telling the client that the test was negative, the physician did not clarify what "negative" actually meant. Using medical jargon without an explanation can lead to misinterpretation of the message by the client. Asking the client why she is crying over good news does not allow the client to express concern over the results. Asking the client what the physician told her assumes that she is crying because of what the physician said and does not allow her to express her concern in an open-ended manner. Saying that the test results are good in this case assumes that the client has misunderstood the results, which may be true but does not allow the client to express her concerns.
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