The physician has just told the client that the results of a biopsy performed yesterday reveal no malignancy. During discharge teaching the nurse finds the client to be easily distractible and unable to focus
What is the nurse's best interpretation of this situation?
1. The client did not understand that there is no malignancy.
2. Anxiety can result from both positive and negative stimuli.
3. Since there is no malignancy present, the client feels there is no need for teaching.
4. These findings reflect mild anxiety, but the client should retain information taught despite this distractibility.
Correct Answer: 2
Rationale 1: There is no indication that the client doesn't understand the report.
Rationale 2: Anxiety can be the result of both positive and negative stimuli.
Rationale 3: There is no indication that the client discounts the need for teaching.
Rationale 4: The amount of information retained may be drastically reduced by this level of anxiety, so the nurse should take extra pains to ascertain if the client understands the teaching.
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