A 50-year-old male is diagnosed with multiple myeloma; his prognosis is poor. He's tearful and trying to express his feelings, but he's having difficulty. The nurse should first:
A) Ask if he would like her to sit with him while he collects his thoughts
B) Tell him that she will leave for now but will be back
C) Offer to call pastoral care
D) Tell him that she can understand how he's feeling
Ans: A
Feedback: The patient needs to feel that people are concerned with his situation. Leaving him doesn't show acceptance of his feelings. Offering to call pastoral care may be helpful for some patients but should be done after the nurse has spent time with the patient. Telling the patient that she understands how he's feeling is inappropriate because it doesn't help him express his feelings.
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