Difficulty: Medium
Average Score: 77%
Simulated
While intoxicated, a client received a severe full-thickness burn to his left leg. After an unsuccessful response to treatment, an amputation is required. After signing the informed consent form, the nurse observes that the client appears withdrawn. Which action should the nurse implement at this time?
Correct answer
C
Rationale
Reflection statements tend to elicit a deeper awareness of feelings. A well-timed reflection can reveal an emotion that has escaped the client's notice. Additionally, option 3 validates the perception that the client is upset. Options 1 and 4 address interventions before assessing the situation. Option 2 is inappropriate and a block to communication.