A 62-year-old woman has not been to the clinic for an annual examination for 5 years. The recent death of her husband reminded her that she should come for a visit
Her family doctor has retired, and she is going to see the women's health nurse practitioner for her visit. To facilitate a positive health care experience, the nurse should:
a. Remind the woman that she is long overdue for her examination and that she should come in annually.
b. Listen carefully and allow extra time for this woman's health history interview.
c. Reassure the woman that a nurse practitioner is just as good as her old doctor.
d. Encourage the woman to talk about the death of her husband and her fears about her own death.
ANS: B
The nurse has an opportunity to use reflection and empathy while listening and to ensure open and caring communication. Scheduling a longer appointment time may be necessary because older women may have longer histories or may need to talk. A respectful and reassuring approach to caring for women older than age 50 can help ensure that they continue to seek health care. Reminding the woman about her overdue examination, reassuring the woman that she has a good practitioner, and encouraging conversation about the death of her husband and her own death are not the best approaches with women in this age group.
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