A client with renal cancer asks about the test results before they have been disclosed. Which response by the nurse is most appropriate?

• A. 'It must be difficult for you not to know the results of your test.'
• B. 'The results show a severe condition; you should prepare for treatment.'
• C. 'I can't discuss this until a physician is present.'
• D. 'Don't worry, it's not serious.'

Answer: (A)

Encouraging open, empathetic communication with the patient who is waiting for results is the key idea. Saying, “It must be difficult for you not to know the results of your test,” validates their feelings and acknowledges their anxiety without giving or delaying information. This response shows that you’re listening, you’re present, and you’re on the patient’s side, which helps build trust and reduces distress while still respecting that the actual results should come from the physician or be shared when appropriate.

Other approaches that try to foreclose discussion or prematurely reveal or minimize the information aren’t as helpful. Telling the patient the results are severe and to prepare for treatment, or insisting that no discussion can happen without a physician present, can heighten fear or delay the patient’s right to information and support. And assuring them not to worry or that it’s not serious can feel dismissive and may be inaccurate, undermining trust.