Which response by the nurse is most therapeutic?
A client, age 40, is admitted for treatment of a breast tumor. She asks the nurse, "Do you think I have cancer?"
A. Your physician can tell you more about that. B. Most women your age have some kind of breast problem. C. We won t know for sure until you undergo some tests. D. You sound concerned about what the physicians will tell you.
Receiving the news of having cancer can be very frightening. Many cancer victims do not know how to accept the news. Usually, people will comfort those who receive such bad news as this. However, information about the treatment should be given too. This will help relieve the situation as much as possible.
Sometimes, the patient can tell that they have cancer before being tested for it. Sometimes, they may feel a lump or they may know that their family medical history contains cancer. Therefore, a patient may ask a nurse “Do you think I have cancer?” The nurse may not be able to say until the tests come back, but even if he or she has an inkling, the nurse should show concern.
You sound concerned about what the physicians will tell you.-rationale: this response allows the client to express her feelings and promotes further discussion. referring the client to the physician ends the discussion and prevents exploration of the clients feelings. generalizing about most women shifts the focus from the client. the statement about the need for tests is true but doesnt focus on the clients feelings and concerns.client needs category: psychosocial integrityclient needs subcategory: nonecognitive level: applicationreference: craven, r.f., and hirnle, c.j. fundamentals of nursing: human health and function, 5th ed. philadelphia: lippincott williams & wilkins, 2007, p. 377.