A client with worsening PIH is to be admitted to the hospital. While the office nurse is assisting her to dress, the client says, "It's easy for you people to say, 'Go to the hospital,' but it's not so easy for me to do it
I can't go just like that!" After acknowledging her feelings, which approach by the nurse would be best? a. Explain to the client that she is ultimately responsible for her own welfare and that of her baby.
b. Explore with the client ways that immediate hospitalization could be arranged.
c. Repeat the physician's reasons for advising immediate hospitalization.
d. Stress to the client that her husband would want her to do what is best for her health.
B
Further assessment and client involvement in the decision-making process by exploring with the client ways that immediate hospitalization could be arranged is the most appropriate approach by the nurse. Explaining to the client that she is ultimately responsible for her own welfare and that of her baby and stressing that she and her husband would want to do what is best for her health are not client-focused responses and would likely result in the client having feelings of guilt. Repeating the physician's reasons for advising immediate hospitalization does not address the client's concerns.
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