The nurse is providing home care for a patient with chronic heart failure who says, "I don't think I'm going to go to cardiac rehab anymore, it is too hard to get there. Besides, if I'm going to die, I don't want to die on a treadmill."
Which of the following responses by the nurse is best?
a. "People don't die on the treadmill, it's to make your heart stronger."
b. "I don't blame you for feeling frustrated, I hate to exercise too."
c. "You sound upset. Did you know research shows that cardiac rehab programs give people better medical outcomes and a higher quality of life?"
d. "It sounds like you want to give up. I'll call the doctor and have you transferred to the hospice program."
ANS: C
Cardiac rehabilitation programs for patients with chronic heart failure have been shown to improve quality of life. Cardiac rehabilitation has also demonstrated long-term benefits as well in a randomized controlled trial, with 1-month and 6-year evaluations. Therapeutic responses should focus on the patient, use open-ended statements, and provide education when possible.
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