Question

Mrs. Brandon has breast cancer. She was diagnosed quite late in the illness and is terminal. She knows that she has breast cancer and has undergone a mastectomy, however, no one has told her the extent of her illness. The nurse comes in to change her dressings and hang her medication. Mrs. Brandon looks at the nurse and asks, "What is happening to me? Why won't anyone explain what is happening to me?" Her husband, Mike, and two daughters look at the nurse and shake their heads, "No." The best response by the nurse is:

Answer 1

The nurse should listen to the family's concerns, offer support to Mrs. Brandon, and facilitate an open conversation about her condition in a way that respects both her right to information and the family's wishes.

Step-by-step explanation:

The best response by the nurse in this scenario would be one that acknowledges Mrs. Brandon's need for information while also respecting the wishes of her family. The nurse should take a moment to speak with the family privately to understand their concerns about sharing the prognosis and to discuss the importance of honest communication with the patient. Afterwards, the nurse could return to Mrs. Brandon, offer a kind and supportive presence, and explain that a detailed discussion about her condition can be arranged with all parties involved to ensure that her questions and concerns are addressed with care and respect. It is crucial for the nurse to act as a liaison between the patient and her family, facilitating a conversation that respects the patient's right to know about her health while considering the family's perspective.