A client who was receiving enteral feedings in the hospital has been started on a regular diet and is almost ready for discharge. The client will be self-administering supplemental tube feedings between meals for a short time after discharge
When the client expresses concern about his or her ability to perform this procedure at home, the nurse would best respond with which of the following? 1. "Tell me more about your concerns about going home."
2. "Do you want to stay in the hospital a few more days?"
3. "Maybe a friend will do the feeding for you."
4. "Have you discussed your feelings with your family and doctor?"
1
Rationale: A client often has fears about leaving the secure environment of a health care facility. This client has a specific fear about not being able to handle tube feedings at home. An open communication statement such as "Tell me more about..." often leads to valuable information about the client and his or her concerns. "Maybe a friend will do the feeding for you." and "Have you discussed your feelings with your family and doctor?" are nontherapeutic responses because they place the client's issues on hold. "Do you want to stay in the hospital a few more days?" is beyond the scope of practice for the nurse to implement and may not be necessary.
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