The nurse finds a client who has been diagnosed with terminal ...

[tfester]

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.

Question 2

A terminally ill client shares with the nurse that he, needs to tell someone what I want when the end comes. The nurse's most therapeutic response is:
 
  1. We can talk about that now if you want to. Let me close the door and pull up a chair.
  2. I imagine you would like to discuss matters with your primary care provider. I'll let him know you want to talk.
  3. Let me finish with my client care, I'll be back in 10 minutes, and we can talk as long as you need to.
  4. If you haven't discussed your feelings with your family yet, I'd suggest you do that when they visit this evening.

[ju]

Answer to Question 1

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.

Answer to Question 2

ANS: 1
Avoid communication barriers such as denying the client's grief, providing false reassurance, or avoiding discussion of sensitive issues. When you sense that a client wants to talk about some-thing, make time right then, if at all possible.

[tfester]

TY

[ju]

You're welcome