Evolve HESI Practice Exam

What is an appropriate response to a client refusing to discuss their mastectomy incision during a dressing change?

1. You should really try to talk about it.

2. It's important to face your surgery directly.

3. I'm here for you when you're ready to talk.

4. We need to discuss this incision right now.

The correct answer is: I'm here for you when you're ready to talk.

The appropriate response to a client refusing to discuss their mastectomy incision during a dressing change is supportive and respectful of the client's feelings and readiness to engage. By stating, "I'm here for you when you're ready to talk," the nurse creates a safe, non-threatening environment that fosters trust and encourages open communication. This response acknowledges the client’s autonomy and emotional state, allowing them to address the topic at their own pace. Understanding that a mastectomy can be a highly emotional experience, the nurse's response empowers the client rather than pressuring them into a conversation they may not feel comfortable having at that moment. This approach aligns with compassionate care and promotes the therapeutic relationship, which is crucial in nursing practice. It shows the client that their feelings are validated and that the nurse is available for support whenever they choose to engage.