A patient in her 30s has two young children and has just had a modified radical mastectomy with immediate reconstruction
The patient shares with the nurse that she is somewhat worried about her future, but she appears to be adjusting well to her diagnosis and surgery. What nursing intervention is most appropriate to support this patient's coping?
A) Encourage the patient's spouse or partner to be supportive while she recovers.
B) Encourage the patient to proceed with the next phase of treatment.
C) Recommend that the patient remain optimistic for the sake of her children.
D) Arrange a referral to a community-based support program.
Ans: D
Feedback:
The patient is not exhibiting clear signs of anxiety or depression. Therefore, the nurse can probably safely approach her about talking with others who have had similar experiences. The nurse may educate the patient's spouse or partner to listen for concerns, but the nurse should not tell the patient's spouse what to do. The patient must consult with her physician and make her own decisions about further treatment. The patient needs to express her sadness, frustration, and fear. She cannot be expected to be optimistic at all times.
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