A nurse talking with a patient about a new diagnosis of advanced cancer wishes to encourage the patient to continue speaking without asking direct questions. The patient has not decided whether to have treatment or go on hospice
Which statement by the nurse would best accomplish this goal? a. "My brother had the same thing, and he did well with treatment."
b. "So you are not sure if you want to try the treatment or not."
c. "Tell me more about what you are thinking about your options."
d. "Uh huh, I see you are having a conflict about having treatment."
B
In restatement, the nurse repeats what the patient just said, either verbatim or paraphrased. The goal is to let the patient know the nurse is listening and to encourage elaboration.
Telling the patient about a family member's experience with cancer is an example of inappropriate self-disclosure and might make the patient feel as if his or her own feelings were not as important.
Asking the patient to further explain what has just been said is an example of clarification, which helps ensure the message received is the one that was sent. Although useful, this is not the best choice in this situation.
"Uh huh, I see you are having a conflict about having treatment" sounds patronizing and would most likely make the patient feel as if he or she is not really being listened to because the nurse is deciding what the patient meant.
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