Certified Medical-Surgical Registered Nurse Practice Exam

How should a medical-surgical nurse approach a patient who is angry with physicians and staff?

1. Allow the patient and family members time to be alone

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

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

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

The correct answer is: Direct the discussion and validation of emotion, without false reassurance

The appropriate approach for a medical-surgical nurse when dealing with a patient who is angry at physicians and staff is to direct the discussion and validate the patient's emotions without providing false reassurance. This method acknowledges the patient's feelings, which is crucial in fostering a therapeutic relationship. By allowing the patient to express their anger and frustration, the nurse can better understand the underlying issues contributing to these emotions. Validating the patient's feelings helps them feel heard and respected, which is essential in promoting emotional healing and allowing for open communication. This approach fosters trust and may enable the patient to voice specific concerns they have about their treatment or care, leading to more effective resolution and support. Engaging in a directed conversation also allows the nurse to clarify any misunderstandings the patient might have about their care, ensuring that accurate information is provided. This can help alleviate anxiety and improve the patient's overall experience in the healthcare setting. Creating an environment where patients can express their emotions constructively can enhance their sense of agency in their care. Thus, addressing the anger through validation and discussion aligns with patient-centered care principles and can ultimately lead to improved outcomes.