A patient recently diagnosed with chronic myeloid leukemia (CML) says he does not want to leave his wife alone with all the household finances. Which response should the nurse refrain from making at this time?
1. "I would encourage you to discuss your feelings with your wife so that she can be a part of the decision making process."
2. "I would like to make a referral for you and your wife to a support group that may be helpful with some of the issues you are having."
3. "It must be very difficult for you to think of your wife having to be alone with the household decisions."
4. "You had better get your affairs in order now before it is too late."
Correct Answer: 4
Once the patient has expressed a concern about getting affairs "in order," the nurse can offer additional information or discuss available resources. Anticipatory grieving is identifying emotional losses or potential losses such as function, independence, appearance, friends, self-esteem, and self prior to actual events related to death. Making referrals for support or bereavement groups is appropriate at this time. Leading questions encourage patients to verbalize their feelings.
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