A patient has just made some statements that seem vague and ambiguous to the nurse. The best statement by the nurse after the patient finishes speaking would be,
a. "Are you afraid these tests will bring results that will upset you?"
b. "I'd like to understand more about what happened earlier today."
c. "Why do you think this happened to you today instead of earlier?"
d. "You said earlier that you were upset by the physician on rounds."
B
Saying "I'd like to understand more . . ." shows clarification, a technique used when a patient makes vague statements or after the patient finishes a train of thought.
Asking whether the patient is afraid to get test results would be an example of reflection, a technique used when a patient does not state his or her underlying feelings. This would not be the best choice in this particular situation.
This "why" question is probing and might well put the patient on the defensive, especially if the patient does not understand the feelings behind what is being said.
"You said earlier that you were upset by the physician on rounds" is an example of restatement.
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