During a home visit, the nurse learns that a patient with chronic heart failure is planning to quit cardiac rehabilitation because of the fear of dying while on the treadmill. Which response by the nurse is best?
a. "I don't blame you for feeling frustrated, I hate to exercise too."
b. "People don't die on the treadmill; it's to make your heart stronger."
c. "It sounds like you want to give up. I'll call the doctor and have you transferred to the hospice program."
d. "You sound upset. Did you know research shows that cardiac rehab programs give people better medical outcomes and a higher quality of life?"
ANS: D
Cardiac rehabilitation programs for patients with chronic heart failure have been shown to improve quality of life. In a randomized controlled study of 123 medically stable heart failure patients over 10 years, exercise training demonstrated improved functional capacity and quality of life over patients who did not exercise regularly A. B. C. Therapeutic responses should focus on the patient, use open-ended statements, and provide education when possible.
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