The nurse is caring for a client who has been newly diagnosed with colon cancer. The client has become withdrawn from family members. Which strategy does the nurse use to assist the client at this time?
a. Ask the health care provider for a psy-chiatric consult for the client.
b. Explain the improved prognosis for colon cancer with new treatment.
c. Encourage the client to verbalize feelings about the diagnosis.
d. Allow the client to remain withdrawn as long as he or she wishes.
C
The nurse recognizes that the client may be expressing feelings of grief. The nurse should en-courage the client to verbalize feelings and identify fears to move the client through the phases of the grief process. A psychiatric consult is not appropriate for the client. The nurse should not brush aside the client's feelings with a generalization about cancer prognosis and treatment. The nurse should not ignore the client's withdrawal behavior.
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