Question

A nurse is talking with a patient who recently became paraplegic as a result of a cervical spinal cord injury. When some home equipment is discussed, the patient becomes angry and says, "I don't need to worry about any kind of home equipment." What is the best response by the nurse?

a. "I know you will be walking soon, but you may need some equipment until then."
b. "There is very little chance that you will ever walk."
c. "Tell me what it is about this equipment that bothers you."
d. "Let me call the physician to come explain your injuries to you."

Answer 1

The nurse should provide an empathetic response that acknowledges the patient's feelings and emphasizes the importance of discussing home equipment to ensure independence and safety.

Step-by-step explanation:

When a patient who has become paraplegic due to a cervical spinal cord injury expresses anger and dismisses the need for home equipment, the best response by the nurse might be to acknowledge the patient's feelings and provide reassurance. Here's an appropriate response:

"I understand this is a difficult and frustrating time for you. Adapting to changes can be overwhelming. We discuss home equipment to ensure you'll have the support and tools you need to maintain your independence and safety at home. Let's go over the options together at your own pace, and I'm here to help with any questions you may have."

This response is empathetic, validates the patient's emotions, and emphasizes the importance of preparing for home care without insisting on an immediate decision.