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    RN Comprehensive Predictor Proctored Exam (National U CA San Diego)
    Select All That Apply

    A nurse is caring for a client who has cancer and is being transferred to hospice care. The client's daughter tells the nurse, "I'm not sure what to say to my mom if she asks me about dying." Which of the following responses by the nurse is appropriate? (Select all that apply.)

    Explanation & Rationale

    Rationale: A. "You sound like you have questions about your mom dying. Let's talk about it.": This response acknowledges the daughter’s emotional struggle and invites open dialogue. It encourages expression of thoughts and feelings, which supports coping and helps build trust. B. "Tell me how you are feeling about your mom dying.": This therapeutic response promotes emotional expression and validates the daughter’s experience. It allows the nurse to assess the daughter’s understanding, provide reassurance, and offer emotional support. C. "Hospice will take good care of your mom, so I wouldn't worry about that.": This response minimizes the daughter’s emotions and shuts down communication. It focuses on reassurance rather than addressing the underlying fear or uncertainty the daughter feels about her mother’s death. D. "Let's talk about your mom's cancer and how things will progress from here.": Providing honest and compassionate information about disease progression helps the daughter prepare emotionally and practically. It also fosters understanding and reduces anxiety about the unknown aspects of dying. E. "Tell her not to worry. She still has plenty of time left.": Offering false reassurance denies the reality of the situation and prevents the daughter from processing anticipatory grief. Such a response discourages open, honest communication between the client and family.

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