The nurse assesses that a patient is more anxious than usual. The patient states, "I don't understand how I can still be alive when my heart has failed." Which nursing response is indicated?
1. "Heart failure is a common problem in the United States. Many people have it. They all have problems such as yours."
2. "Heart failure doesn't mean your heart has quit, just that it no longer is as efficient as it once was."
3. "You seem upset. Would you like for me to call the health care provider to explain this to you?"
4. "Heart failure is pretty complicated. It means the heart is failing to work."
2
Rationale 1: Stating that the problem is common does not help the patient understand the condition.
Rationale 2: Helping the patient understand that the heart is still functioning may help alleviate concerns about imminent death.
Rationale 3: Contacting the health care provider is not necessary; the nurse should know how to respond to this question.
Rationale 4: This response does not provide the patient with enough information.
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