The nurse is caring for a client who has just been diagnosed with profound hearing loss. The client tells the nurse, "The doctors must have made a mistake. There's no way I can be deaf!" Which is the nurse's best response?
a. "Why do you think that the doctors made a mistake?"
b. "I can tell that you are anxious and scared about your hearing."
c. "Lots of people lead productive lives after losing their hearing."
d. "The doctors did extensive tests to make sure that the diagnosis was correct."
B
The nurse should acknowledge the client's feelings rather than trying to convince the client of the physicians' correct diagnosis. Reflective techniques can help the client clarify feelings and share concerns with the nurse. The nurse should not belittle the client's concerns with generalizations. "Why" questions can seem probing and often put the client on the defensive. Merely reassuring the client that all pertinent tests were conducted will not help the client resolve feelings about deafness.
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