Melanie is a 46-year-old unemployed patient who is being seen in the medical office because of a pain in her abdomen that has persisted for three weeks. The physician orders a urinalysis and several blood tests. When you begin preparing to draw her blood, Melanie says, "No! I don't want you to draw my blood. I just want to know what is causing the pain in my stomach. You don't need blood for that! I can't afford all these extra tests." You explain that the blood tests are needed to help diagnose the stomach pain, but Melanie continues to refuse to allow you to draw her blood. What should you do?
A. Inform Melanie that you must draw the blood because the physician ordered it
B. Assure Melanie that insurance will cover the cost of the tests
C. Offer to draw the blood free of charge, since Melanie is unemployed
D. Report her refusal to your supervisor or the physician and make a note in her chart
E. Ask colleagues in the office to assist you in drawing Melanie's blood
Answer: D
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