The nurse is providing emotional support to the spouse of a patient recently diagnosed with terminal esophageal cancer. The spouse expresses anger and confusion and questions why the patient did not seek help sooner
Which response by the nurse would be the most appropriate at this time? 1. "Unfortunately, the early symptoms are often vague and not recognized as something serious.".
2. "Your spouse was probably afraid of getting bad news.".
3. "You will never know.".
4. "It is not important to know that right now.".
1
Rationale 1: The manifestations of esophageal cancer are often vague.
Rationale 2: It is inappropriate for the nurse to make assumptions about the motivations and feelings of the individual with cancer.
Rationale 3: This response is inappropriate and does not offer any information to the spouse.
Rationale 4: It is inappropriate for the nurse to decide what is important for the patient's spouse to know at this time.
You might also like to view...
A patient with degenerative arthritis complains, "For the past month I have been having a lot of trouble sleeping. I cannot seem to fall asleep. When I finally do get to sleep, I wake up over and over during the night."
Which information should the nurse seek initially? a. "What have you done to try to improve your sleep?" b. "What would be a good sleep pattern for you?" c. "How much exercise are you getting?" d. "Do you have pain at night?"
Which one of these is an accessory organ that aids in the digestion of food?
a. duodenum c. spleen b. pancreas d. jejunum
The nurse is caring for a patient whose serum sodium level is 140 mEq/L and serum potassium level is 5.4 mEq/L. The nurse will contact the patient's provider to discuss an order for
a. a low-potassium diet. b. intravenous sodium bicarbonate. c. Kayexalate and sorbitol. d. salt substitutes.
The nurse performs an assessment of a client with schizophrenia. Which comorbid health conditions should the nurse most expect to find in this client? (Select all that apply.)
A) Osteoarthritis B) Obesity C) Hypertension D) Breast cancer E) Cardiac complications