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    Med Surg 2 Proctored ExamQuestion 71
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    Med Surg 2 Proctored Exam

    A 62-year-old woman has not been to the clinic for an annual examination for 5 years. The recent death of her husband reminded her that she should come for a visit. Her family doctor has retired, and she is going to see the women's health nurse practitioner for her visit. To facilitate a positive health care experience, the nurse should:

    Explanation & Rationale

    A. Encourage the woman to talk about the death of her husband and her fears about her own death.: While acknowledging grief is important, directing the conversation toward death and personal fears without the client initiating it may be intrusive. Therapeutic communication should be client-centered, allowing the patient to guide emotionally sensitive topics. B. Listen carefully and allow extra time for this woman's health history interview.: Establishing rapport through active listening and unhurried interaction is essential, especially for a client returning to care after a long absence and experiencing recent loss. Allowing extra time facilitates trust, promotes comprehensive assessment, and improves patient adherence to care. This aligns with patient-centered care principles and therapeutic communication. C. Remind the wman that she is long overdue for her examination and that she should come in annually.: This response may come across as judgmental or punitive, potentially discouraging the client from engaging in care. Health promotion should be approached in a supportive and nonjudgmental manner to foster a positive healthcare experience. D. Reassure the woman that a nurse practitioner is just as good as her old doctor.: While intended to build confidence, this statement may appear defensive or dismissive of the client’s potential concerns. Instead of making comparisons, the nurse should focus on building trust through professional communication and demonstrating competence during the interaction.

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