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    Ati Lpn Comprehensive Predictor 2023 Proctored Exam

    A nurse is assisting with the care of a client who is receiving chemotherapy and radiation for advanced breast cancer. The client states, "I am thinking about stopping the treatments." Which of the following responses should the nurse make?

    Explanation & Rationale

    A. "I would feel the same way if I were you.": Expressing personal feelings shifts the focus away from the client and may minimize their experience. It does not encourage the client to share their thoughts or feelings about treatment decisions. B. "Why do you think that would be a good choice?": Asking “why” can sound judgmental and may make the client defensive. It does not create an open, supportive environment for exploring concerns. C. "Tell me more about what you are thinking.": This open-ended statement encourages the client to express feelings, fears, and motivations. It promotes therapeutic communication, helps the nurse understand the client’s perspective, and guides collaborative decision-making regarding treatment options. D. "You'll be cancer-free after you complete your treatments.": Providing false reassurance is misleading and can damage trust. Outcomes in advanced cancer are uncertain, and statements guaranteeing cure are inappropriate and non-therapeutic.

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