The patient with a hemiparesis is very hesitant to transfer from the bed to the chair with a new nurse's help. Which action should this nurse take first to accomplish the transfer?
a. Explain how the transfer of the patient will be done safely.
b. Ask questions about how the patient usually transfers.
c. Document that the patient declined help for the transfer.
d. State that the healthcare provider ordered a transfer.
B
By applying the nursing process, the nurse probes gently to gather information about the patient's reluctance to transfer, including the methods used to complete other transfers, how many transfers have occurred, and events during the transfers that left the patient fearing or dreading further transfers. The nurse takes these data and plans nursing care in response. If the nurse as-sumes that the problem is fear, the patient's true needs may not be met by even the most detailed explanation of safety measures. The first response should be to assess the problem and develop a plan of action. Refusal to transfer should be documented only if, after every effort to understand and address the patient concerns, the patient continues to refuse. By stating that the healthcare provider ordered a transfer, the nurse passes responsibility for transferring to the healthcare provider. This is unprofessional. The patient can feel coerced to transfer by the nurse's implica-tion that the patient has no choice; this is a legally tenuous position for the nurse to assume.
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