Certified Medical-Surgical Registered Nurse Practice Exam

Which initial action should the nurse take when a tearful patient with leukemia struggles to express his feelings?

1. Tell him that she will leave for now but she will be back.

2. Offer to call pastoral care.

3. Ask if he would like her to sit with him while he collects his thoughts.

4. Tell him that she can understand how he is feeling.

The correct answer is: Ask if he would like her to sit with him while he collects his thoughts.

The most appropriate initial action for the nurse in this situation is to offer to sit with the patient while he collects his thoughts. This approach provides a supportive and non-intrusive presence, allowing the patient to feel safe and understood as he navigates his emotions. By offering to sit with him, the nurse shows empathy and validates his feelings, creating an environment conducive to sharing and expressing those feelings. This response encourages the patient to take his time, which is particularly important when someone is visibly upset or struggling to articulate their feelings. It demonstrates that the nurse is there for him at that moment, without pressure to immediately articulate his thoughts or emotions. In contrast, simply stating that the nurse will return later does not provide the immediate emotional support the patient may need. Offering pastoral care may be beneficial later on but may not address the patient's immediate emotional struggle. Saying that she can understand how he is feeling might come off as dismissive and does not facilitate an open dialogue, potentially leading the patient to feel misunderstood or more isolated.