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 and stops to listen. Which response by the nurse may be most beneficial?
a. "I had a similar procedure and I can tell you what I went through."
b. "I think you'll be all right, but, of course, there are no sure guarantees."
c. "I don't think you have anything to worry about. They do lots of these."
d. "I can call the doctor and cancel the procedure, if you are really concerned."
ANS: 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 false reassurances and cliches, telling not to worry, or offering to cancel the procedure does not open up that relationship and dismisses the patient's concerns.
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