The nurse enters a client’s room with the intent of allowing the clien

QUESTION

The nurse enters a client’s room with the intent of allowing the client to express feelings in relation to her new cancer diagnosis.

The nurse notices that the client is crying and guarding her incision site. After validating physical discomfort, the nurse should

a. administer an analgesic and postpone the interaction.
b. sit with the client and hold her hand.
c. explain that pain is expected following surgery but that it is important to increase activity to avoid complications.
d. acknowledge the physical pain but state that it is a priority to immediately address the emotional pain.

ANSWER:

ANS: A
Communication breaks down when the nurse and client do not share the same understanding of messages. Barriers to effective communication occur in clients when they are preoccupied with pain, physical discomfort, worry, or contradictory personal beliefs. The client’s pain must be a priority for the nurse before other needs are addressed.