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    Ati rn adult medical surgical 2023 proctored exam

    A nurse is caring for a client who has cancer. The client tells the nurse, "I would prefer to try vitamins and minerals instead of chemotherapy." Which of the following responses should the nurse make?

    Explanation & Rationale

    Rationale: A. "I have never heard of any holistic treatment that is effective." This response is dismissive. It is important for the nurse to acknowledge the client’s concerns without shutting down the discussion or disregarding the client’s preferences. B. "Tell me what you know about chemotherapy." This response uses therapeutic communication by exploring the client’s understanding, beliefs, and concerns. It is open-ended, nonjudgmental, and promotes client education and shared decision-making. This approach helps the nurse identify misconceptions and provide appropriate information while respecting the client’s autonomy. C. "You should ask your provider about your plan." This deflects responsibility and does not address the client’s concerns or promote understanding. D. "The best way to treat your cancer is chemotherapy." This statement is prescriptive and does not acknowledge the client’s preferences or values. A more collaborative approach would involve discussing treatment options, risks, and benefits, while providing the client with the opportunity to make an informed decision.

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