A patient states, "I don't think I'll ever be able to give myself an injection." The best reply by the nurse is:
"What bothers you most about the idea of giving yourself an injection?"
"Everyone feels like that at first. You'll get over it."
“I know just how you feel. I would have trouble giving myself an injection."
"Don't be afraid. It's an easy skill for anyone to learn."
The Correct Answer is A
A. "What bothers you most about the idea of giving yourself an injection?" This open-ended question allows the patient to express specific fears or concerns, facilitating a deeper conversation to address the patient’s worries.
B. "Everyone feels like that at first. You'll get over it." This response is dismissive and may invalidate the patient’s feelings by suggesting that their concern is typical rather than unique.
C. “I know just how you feel. I would have trouble giving myself an injection." While empathetic, this response shifts focus to the nurse’s feelings rather than exploring the patient’s specific concerns.
D. "Don't be afraid. It's an easy skill for anyone to learn." This response minimizes the patient’s fear and could make them feel dismissed rather than supported.
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Correct Answer is C
Explanation
A. Judgmental response.
This isn’t necessarily judgmental, as it doesn't express an opinion about the patient’s feelings or concern.
B. Using clichés.
Clichés are general or overused phrases meant to provide comfort but are not present here.
C. Changing the subject.
Changing the subject dismisses the patient's concern without acknowledging it, which is evident here as the nurse diverts to breakfast without addressing the worry.
D. Giving false reassurance.
False reassurance involves saying something unrealistic to make the patient feel better, which isn't directly done here.
Correct Answer is B
Explanation
A. is packing belongings in preparation for discharge. Although discharge is an appropriate time for patient education, it may be too late to introduce complex information that requires practice or understanding. Teaching moments often occur earlier in the care process.
B. says, "How will I remember all the things about my new diet?" This is an ideal teaching moment as the patient is expressing concern and showing readiness to learn about the diet. The nurse can use this moment to provide guidance on strategies to remember dietary instructions.
C. has just returned from surgery for a deviated septum. Immediately post-surgery, the patient may be under the influence of anesthesia or pain medication, limiting their ability to absorb information. Teaching at this time may not be effective.
D. has just been told of the malignancy of his tumor. Right after receiving bad news, patients may experience shock, grief, or distress, making it difficult for them to process additional information. This may not be the right time for education.