A nurse is caring for a 35-year-old client who is 12 hours post mastec

A nurse is caring for a 35-year-old client who is 12 hours post mastectomy. The care assistant re-ports that the client is crying. Which of the following responses by the nurse best reflects the use of analysis regarding this client’s care needs?

1. “That surgery is painful. I’ll get her pain medication ready.”
2. “She was sleeping when I checked 15 minutes ago. I’ll go back in right now.”
3. “I’ll be responsible for her PM care so I can spend some uninterrupted time with her.”
4. “A mastectomy is a blow to a woman’s self image. I’ll notify her provider that she is depressed.”

ANSWER

ANS: 2
Analysis requires being opened-minded as you look at information about a client. Do not make careless assumptions. Do the data reveal what you believe is true, or are there other options? Although pain may be the cause of this client’s tears, there are other possible reasons, so making an assumption is not appropriate. Although Answer 3 shows the nurse’s intention to analyze the client’s needs, the delay is not appropriate. While the client may be experiencing some depres-sion, there are other possible reasons for the tears and so the nurse should not assume.