A 52-year-old client is admitted to the hospital for surgery to treat lung cancer. The client says to the nurse, "I was an alcoholic for 15 years, and now that I'm 25 years sober, I'm being punished." Which statement by the nurse would be therapeutic?

A. "You started drinking at 12 years of age — is that why you feel that the cancer is retribution?"
B. "Because you seem to be blaming yourself unnecessarily, perhaps we can talk about your illness and what you can expect after surgery."
C. "Sounds like you feel that you're being punished for your drinking, yet you've been sober, so perhaps you're being rewarded by having a cancer that's curable."
D. "You feel that you're being punished even though you've been sober for 25 years. Your doctor must have told you that the cancer is unrelated to alcohol."


Answer: B. "Because you seem to be blaming yourself unnecessarily, perhaps we can talk about your illness and what you can expect after surgery."

Nursing

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