The patient is about to undergo a certain procedure and has voiced concern about outcomes and prognosis. The nurse caring for the patient underwent a similar procedure a few years earlier and stops to listen to the patient's concerns
Which of the following responses by the nurse may be most beneficial? a. "I had a similar procedure last year and I can tell you what I went through."
b. "I don't think you have anything to worry about. They do lots of these."
c. "If you're really concerned, I can call the doctor and cancel the procedure."
d. "Of course there are no guarantees, but I think you'll be all right."
A
When an ill person chooses to tell his story, it involves reaching out to another human being. Telling the story implies a relationship that develops only if the clinician exchanges his or her stories as well. Professionals do not routinely take seriously their own need to be known as part of a clinical relationship. Yet, unless the professional acknowledges this need, there is no reciprocal relationship, only an interaction. Offering reassurances or offering to cancel the procedure does not open up that relationship. B, C, and D all dismiss the patient's concerns.
You might also like to view...
A physician has diagnosed a patient with purpura. After leaving the room, a nursing student asks the nurse what the physician saw that led to that diagnosis. The nurse should say, "The physician is referring to the:
a. "Blue dilation of blood vessels in a star-shaped linear pattern on the legs." b. "Fiery red, star-shaped marking on the cheek that has a solid circular center." c. "Confluent and extensive patch of petechiae and ecchymoses on the feet." d. "Tiny areas of hemorrhage that are less than 2 mm, round, discrete, and dark red in color."
A client is receiving a test to determine adrenal function. What medication does the nurse administer as a screening test?
A) Cosyntropin (Cortrosyn) B) Sodium bicarbonate C) Fludrocortisone (Florinef) D) Glucagon
A nursing center is going to be placed in a rural community. Which of the following would have the most power and influence on model development and team composition?
a. The rural community b. The mayor c. The nursing executive d. The center's staff
The nurse has provided client education about the use of nonpharmacological techniques for pain management. Which statements indicate the client understands the information? Select all that apply.
A. "Nonpharmacological techniques are a good adjunct to pharmacotherapy." B. "Nonpharmacological techniques have not reached mainstream yet." C. "Nonpharmacological techniques may be used in place of drugs." D. "Nonpharmacological techniques include an aerobic exercise." E. "Nonpharmacological techniques are not usually valued by nurses."