CRNE Exam Prep

Category - Partnership

A client is rushed to the emergency department due to left-sided substernal chest pain, which was unresolved by sublingual nitroglycerin. Acute myocardial infarction is suspected. The client tells the nurse, “I am scared. Am I dying?” Which of the following responses made by the nurse is the most therapeutic?
  1. “Be calm. You will be fine once the physician comes in.”
  2. “I’m assuring you that we are doing everything we can to make it all better.”
  3. “Acute myocardial infarction is a life-threatening condition, but we have saved many clients with the same condition.”
  4. “Tell me how you feel right now.”
Explanation
Answer: D - The most therapeutic response is: “Tell me how you feel right now.” The response validates the client’s feelings, which facilitates feeling of comfort and safety. The other responses offer false assurance. They are not appropriate and are non-therapeutic.
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