A person whose husband is terminally ill says, I don't want to ...

[hubes95]

A person whose husband is terminally ill says, I don't want to cry in front of him. I don't want him to know how close he is to death or how sad I am. Which response by the nurse would be most therapeutic?
 
  a. You're right to protect him at a time when he is so vulnerable.
  b. He might be more reassured than disturbed by your tears.
  c. It's important for you to know that time is running out.
  d. You definitely need to be honest about your feelings.

Question 2

A terminally ill patient says, I know I'm not going to get well, but still... and the patient's voice trails off. Which response by the nurse would be therapeutic?
 
  a. What do you hope for?
  b. No, you're not going to get well.
  c. Do you have questions about what is happening?
  d. I'm happy you are being realistic about your future.

[Andromeda18]

Answer to Question 1

ANS: B
Many people try to protect the dying person from experiencing emotions; however, emotional honesty is important to both the patient and the family. The patient may be reassured knowing that the family is facing the inevitable. Giving advice and making judgmental statements are not helpful.

Answer to Question 2

ANS: A
This open-ended response is an example of following the patient's lead. It provides an opportunity for the patient to speak about whatever is on his or her mind. The incorrect options are not therapeutic; they block further communication, refocus the conversation, give advice, or suggest the nurse is uncomfortable with the topic.