The nurse is writing a care plan for a patient with brain metastases. The nurse decides that an appropriate nursing diagnoses is "Anxiety related to lack of control over the health care needs and situation."
In establishing this plan of care for the patient, the nurse will identify which measure as appropriate for the care of this patient?
A) The patient will receive anti-anxiety medications every 4 hours.
B) The patient's family will be instructed on measures to implement when providing care for the patient.
C) The patient will be encouraged to verbalize concerns related to the disease and its treatment.
D) The patient will begin a busy schedule of therapy, so that he or she will forget about the anxiety.
Ans: C
Feedback: Patients need the opportunity to exercise some control over their situation. A sense of mastery can be gained as they learn to understand the disease and its treatment and how to deal with their feelings. Distraction, assuming care responsibilities, and administering medications will not allow the patient to gain some control over their situation or discuss their feelings.
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