How should the nurse respond if a patient with lung cancer expresses feelings of guilt related to their smoking history?

The appropriate response involves encouraging the patient to discuss their feelings without judgment, as this approach validates the patient's experience and emotions. Patients with lung cancer may struggle with guilt regarding their smoking history, often feeling that their condition is a direct consequence of their past choices. By providing a non-judgmental space for them to express these feelings, the nurse fosters an open and supportive environment, which can lead to better emotional coping and understanding.

This response not only acknowledges the patient's pain but also helps them process their feelings in a constructive manner. Engaging in dialogue allows the nurse to assess the patient's emotional state, provide appropriate support, and possibly guide them towards resources that can help in coping with their guilt, such as counseling or support groups.

In contrast, advising the patient to focus on current health, suggesting positive thinking, or dismissing their feelings undermines their emotional experience and can lead to increased feelings of isolation or shame. Such responses may minimize the significance of the patient's feelings, making it difficult for them to work through their emotional distress effectively.