A 43-year-old patient of Arab descent is admitted to the hospital. To comply with the state laws of the organization, the nurse offers the patient a Papanicolaou smear, which she refuses. Which action should the nurse take first?
a. Notify the physician.
b. Report the refusal to the supervisor.
c. Explain the rationale for and benefits of the test.
d. Tell her it is state law and that she does not have a choice.
ANS: C
C. A Pap smear can provide important health information. The patient may refuse it, because she does not understand what it is. A. B. Teaching is a nursing action and does not need to be approved by a physician or supervisor. D. The state law simply says the patient must be offered the test, not that she must accept it.
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