The nurse finds a client who has been diagnosed with terminal lung cancer quietly crying. Which of the following nursing responses most reflects a need for additional guidance regarding thera-peutic communication with a dying client?
1. "If there is anything I can do to help, just ask."
2. "Would you like some medication to help you sleep?"
3. "Do you want me to call your wife so you two can talk?"
4. "Try not to be sad; let's find something to be thankful for."
ANS: 4
Avoid communication barriers such as denying the client's grief, providing false reassurance, or avoiding discussion of sensitive issues. Remember that a client's emotions are not something you can "fix." Instead, view emotional expression as a necessary part of the client's adjustment to significant life changes and development of effective coping skills.
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