A patient's mother died several days ago. The patient begins to cry and states, "The pain of her death is impossible to bear.". Which statement by the nurse is the most effective response?
a. "I was depressed last year when my mother died, too.".
b. "I know things seem bleak, but you are doing so well.".
c. "I can see this is a very difficult time for you right now.".
d. "Should I cancel your appointment with the cardiologist?"
C
The nurse conveys empathy and respect by acknowledging the patient's grief. This is an effective response and is likely to enhance the nurse-patient relationship because it is patient centered, displays caring and respect, and helps to make the patient feel accepted. Relating personal details about the nurse's life redirects the focus of the communication to the nurse and fails to support the objectives of the nurse-patient relationship. Responding with a comment about the patient's progress and asking about the cardiologist's appointment ignores the patient's grief and conveys a lack of respect and consideration.
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