The client with a cerebral aneurysm asks the nurse, "What's the big fuss over a headache?" Which is the best response from the nurse regarding to a cerebral aneurysm?

Question

A) "Don't worry. The aneurysm has probably been there since birth."
B) "The headache can be an indication that the aneurysm is growing."
C) "A headache means your aneurysm is leaking blood into the brain."
D) "Your physician wants to evaluate the location and condition of the aneurysm."

Answer 1

D
Feedback:
Keeping the client calm and quiet is an important aspect of care. Explaining the need for further evaluation is factual. The nurse should avoid saying "don't worry" or telling a client how to feel—this is not a therapeutic response. The aneurysm is growing or leaking are both inappropriate responses from a nurse and can lead to increased concern and anxiety for the client.