NCLEX-PN

50. A female client is about to begin her first chemotherapy treatment. She tells the LPN, “It sounds silly, but I’m just so afraid of how people will react to me once I lose all my hair. I always had such pretty hair… I know, stupid, right?” What is the LPN’s best response? A.​ “Your hair will grow back right after treatment stops. And for many women, it grows back even thicker and shinier! For now, just focus on getting better.” B.​ “Most people are pretty understanding about chemo hair loss, but I know it’s hard. Have you joined our chemotherapy support group?” C.​ “Don’t worry. The way they make wigs these days, no one will be able to tell! Would you like me to help you pick one out?” D.​ “Many people have a hard time with chemo-related hair loss. Tell me a little more about your concerns.” Correct Response : D Explanation : The correct answer is (D) . The LPN's best response is to express empathy and encourage the client to share more about her concerns. By saying, "Many people have a hard time with chemo-related hair loss. Tell me a little more about your concerns," the LPN demonstrates active listening and validates the client's feelings, creating an open and supportive environment for the client to express her fears and emotions. (A) attempts to reassure the client about hair regrowth but may minimize her feelings and not address the emotional aspect adequately. (B) suggests joining a support group, which may be helpful but does not directly acknowledge the client's immediate concerns. (C) focuses on wigs, potentially overlooking the emotional impact of hair loss on the client. In contrast, (D) prioritizes understanding and addressing the client's emotional well-being during a challenging time. (See Applying Therapeutic Communication Techniques in Nursing Practice )

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