Which statement about non-therapeutic nurse responses to a recent cancer diagnosis would be classified as non-therapeutic?

• A. Don't worry, treatment options have come so far, and the cure rates get higher every year.
• B. There are many support groups for women with breast cancer. I can provide you with contact information.
• C. Let's identify your family and friends who will be your support system through your treatment.
• D. Tell me what's worrying you right now regarding your recent diagnosis.

Answer: (A)

Acknowledging and addressing the patient’s feelings is essential when delivering difficult news. Saying “Don’t worry, treatment options have come so far, and the cure rates get higher every year” offers reassurance based on statistics and optimism, but it minimizes the patient’s immediate emotions and can imply that their fears are inappropriate or unnecessary. That kind of response can shut down the conversation and prevent the patient from voicing their concerns, fears, or questions.

A more therapeutic approach would acknowledge what the patient is feeling and invite them to express those emotions or seek support. For example, providing information about support groups gives practical help while validating that they may need connection with others. Helping to identify family and friends who can be part of a support system reinforces social backing. Asking, “Tell me what’s worrying you right now regarding your recent diagnosis?” opens the door for the patient to share specific concerns and boundaries for the conversation, fostering trust and ongoing communication.

So the statement that attempts to ease distress with reassurance about overall progress is non-therapeutic, whereas offering resources, naming supports, and inviting the patient to discuss their worries are therapeutic approaches.