1. A nurse is caring for a patient who has been diagnosed
with terminal cancer. The patient expresses anger, sadness,
and fear about his condition and asks the nurse why this is
happening to him. The nurse should:
a) Explain the stages of grief and tell the patient that his
feelings are normal.
b) Avoid discussing the patient's emotions and focus on his
physical needs.
c) Encourage the patient to talk to a spiritual leader or
counselor.
d) Validate the patient's feelings and provide empathic
listening.*
Rationale: The correct answer is d. The nurse should
validate the patient's feelings and provide empathic
listening, which are essential skills for therapeutic
communication and relationship building. The nurse should
not explain the stages of grief, as this may sound
dismissive or patronizing. The nurse should not avoid
discussing the patient's emotions, as this may make the
patient feel isolated or ignored. The nurse should not
encourage the patient to talk to a spiritual leader or
counselor, unless the patient expresses a desire to do so, as
this may impose the nurse's values or beliefs on the patient.
2. A nurse is conducting a health assessment of a new
client at a community health center. The client is a 35-yearold woman who immigrated from India two years ago. The
nurse should:
a) Use an interpreter if the client has limited English
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