During the bath, the client suddenly says, “I am not going to get well

During the bath, the client suddenly says, “I am not going to get well. I think I am going to die.” What response given by the nurse is most appropriate?

1. “Let’s think of something more cheerful.”
2. “You are doing so well; don’t talk like that.”
3. “What makes you think you are dying?”
4. “Whatever is meant to be will happen.”

ANSWER

Correct Answer: 3
Rationale 1: “Let’s think of something more cheerful” is changing the subject.
Rationale 2: “You are doing so well, don’t talk like that” is offering false reassurance and devaluing the client’s concern.
Rationale 3: The nurse should ask what it is that makes the client think about dying. This allows the nurse to collect and evaluate data before making a further response.
Rationale 4: “Whatever is meant to be will happen” is being fatalistic and devaluing the client’s concerns.