A 22-year-old male is being discharged home after surgery for testicular cancer. The patient is scheduled to begin chemotherapy in 2 weeks. The patient tells the nurse that he doesnt think he can take weeks or months of chemotherapy, stating that he has researched the

Answer Explanation: Patients may be required to endure a long course of therapy and will need encouragement to maintain a positive attitude. It is certainly the patients ultimate decision to accept or reject chemotherapy, but the nurse should focus on promoting a positive outlook. It would be a violation of confidentiality to report the patients statement to members of his support system and there is no obvious need for a social work referral.

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