The labor and delivery nurse is caring for a laboring patient who has asked for a priest to visit her during labor
The patient's mother died during childbirth, and although there are no complications during her pregnancy, the patient is fearful of her own death during labor. What is the best response by the nurse? 1. "Nothing is going to happen to you. We'll take very good care of you during your birth."
2. "Would you like to have an epidural so that you won't feel the pain of the contractions?"
3. "The priest won't be able to prevent complications, and might get in the way of your providers."
4. "Would you like me to contact your parish or our hospital chaplain to come see you?"
4
Rationale 1: Avoid statements of false reassurance, as there are no guarantees of the outcomes during health care. Using these statements shuts down effective communication, as the client's concern is downplayed.
Rationale 2: The client's expressed concern is not about pain; it is a fear of death and a desire to see a priest. Address the client's concerns directly.
Rationale 3: Although this statement is true, it is not therapeutic. It downplays the client's concerns, and will shut down effective communication. Address the concerns the client expresses.
Rationale 4: When the client states she wants to see a priest, the nurse should attempt to make arrangements for this visit to occur in a timely manner. Most hospitals have a chaplaincy department that can provide assistance in obtaining the services of a wide variety of religious leaders.
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