Ace the Certified Medical-Surgical RN Exam 2025 – Power Up Your Nursing Game!

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A medical-surgical nurse, who is caring for a patient with a new diagnosis of cancer, observes the patient becoming angry with the physicians and nursing staff. The best approach to diffuse the emotionally charged discussion is to:

Allow the patient and family members time to be alone.

Arrange time for the patient to speak with another patient with cancer.

Direct the discussion and validation of emotion, without false reassurance.

In this scenario, the best approach to diffuse the emotionally charged discussion where the patient is becoming angry with the physicians and nursing staff is to direct the discussion and validation of emotion, without false reassurance (Option C). This approach involves acknowledging the patient's emotions, allowing them to express their feelings, and validating their concerns. By actively listening to the patient without providing false reassurance, the nurse can build trust and rapport with the patient, ultimately helping to address their emotional needs more effectively.

Options A, B, and D are not the best approaches in this situation. Allowing the patient and family members time to be alone (Option A) may not address the underlying emotions and could potentially lead to further frustration. Arranging time for the patient to speak with another patient with cancer (Option B) may not be appropriate if the patient is seeking validation and support from the healthcare team. Requesting a consultation from a social worker on the oncology unit (Option D) may be beneficial in some cases but may not be the most immediate or effective strategy to diffuse the current emotionally charged discussion.

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Request a consultation from a social worker on the oncology unit.

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