The physician has prescribed a chemotherapeutic drug for the patient with cancer. This drug commonly causes loss of hair. The patient asks the nurse, "Will all of my hair fall out?" What is the most therapeutic response by the nurse?
1. "We are not really sure; applying an ice bag to your head may help."
2. "Don't worry, we can recommend an excellent wig company if need be."
3. "Yes, that is one of the expected side effects of this medication."
4. "It might. Have you discussed this with your physician?"
Correct Answer: 3
Rationale: The nurse must always be forthright in explaining drug actions and potential side effects; minimizing potential adverse effects can result in a distrust of the nurse. Ice bags can minimize hair loss with some patients, but the nurse is not honestly answering the patient's question. Telling a patient not to worry is one of the most non-therapeutic responses a nurse can make. In this case, the nurse, not the physician, is responsible for answering the patient's questions.
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