Questions: The nurse is caring for a young adult client post exploratory laparotomy. The health care provider informs the client that there was extensive cancer and there is no treatment recommended. The client laughs and says, "they must have the wrong room, only old people get cancer." The nurse applies insight into the grief process by making which statement? "Unfortunately, young people can get cancer too." "Hearing something like this can be difficult; why don't I sit with you for a while." "I have some information about palliative care to share with you when you are ready." "I am sorry that this is not a joke; it is really serious."

The answer is: "Hearing something like this can be difficult; why don't I sit with you for a while."

Explanation for each option:

1. "Unfortunately, young people can get cancer too."

   • This statement is factual but lacks empathy and does not address the client's immediate emotional response. It may come across as dismissive of the client's feelings and shock.

2. "Hearing something like this can be difficult; why don't I sit with you for a while."

   • This is the correct response. It acknowledges the emotional difficulty of the news and offers support. It shows empathy and provides the client with a sense of not being alone during a distressing time.

3. "I have some information about palliative care to share with you when you are ready."

   • While this statement is practical and informative, it may be premature. The client is still in shock and denial, and this response might overwhelm them further.

4. "I am sorry that this is not a joke; it is really serious."

   • This statement is blunt and may come across as insensitive. It does not provide the emotional support the client needs at this moment and could exacerbate their distress.

In summary, the best approach is to offer emotional support and presence, as the client processes the difficult news.