A mother comes to the clinic and tells the nurse, "I don't want my child to have any vaccinations. I have heard they cause diseases." What is the best response by the nurse?
1. "Vaccinations are safe; there is no reason to worry."
2. "Vaccinations have some risks, but the benefits outweigh the risks."
3. "People worry too much about vaccinations."
4. "Vaccinations are required by law; you really don't have a choice."
2
Rationale 1: It is very non-therapeutic to tell a client not to worry.
Rationale 2: Vaccines have some risks, but many more deaths and serious illnesses occur from the diseases than from the vaccinations.
Rationale 3: Telling the client that people worry too much about vaccinations is condescending and does not offer valid information to the client. The statement also is based on the nurse's opinion.
Rationale 4: Telling a client she does not have a choice with vaccinations is also non-therapeutic; many states do allow a parent to decline vaccinations.
Global Rationale: Vaccines have some risks, but many more deaths and serious illnesses occur from the diseases than from the vaccinations. It is very non-therapeutic to tell a client not to worry. Telling the client that people worry too much about vaccinations is condescending and does not offer valid information to the client. The statement also is based on the nurse's opinion. Telling a client she does not have a choice with vaccinations is also non-therapeutic; many states do allow a parent to decline vaccinations.
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