An 80-year-old patient has difficulty walking because of arthritis and says, "It's awful to be old. Every day is a struggle. No one cares about old people." Which is the nurse's most therapeutic response?
a. "Everyone here cares about old people. That's why we work here."
b. "It sounds like you're having a difficult time. Tell me about it."
c. "Let's not focus on the negative. Tell me something good."
d. "You are still able to get around, and your mind is alert."
ANS: B
The nurse uses empathic understanding to permit the patient to express frustration and clarify the "struggle" for the nurse. The other options block communication.
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