A client has a recurrence of gastric cancer and is in the gastrointestinal clinic crying. What response by the nurse is most appropriate?
a. "Do you have family or friends for support?"
b. "I'd like to know what you are feeling now."
c. "Well, we knew this would probably happen."
d. "Would you like me to refer you to hospice?"
ANS: B
The nurse assesses the client's emotional state with open-ended questions and statements and shows a willingness to listen to the client's concerns. Asking about support people is very limited in nature, and "yes-or-no" questions are not therapeutic. Stating that this was expected dismisses the client's concerns. The client may or may not be ready to hear about hospice, and this is another limited, yes-or-no question.
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