A military vet who recently returned from active duty in a Middle Eastern country and suffers from PTSD states he will not allow the lab tech, who is Iranian, to draw his blood. The patient states "He'll probably use a contaminated needle on me"
Which of these is the most appropriate response by the nurse?
A. "Let me see if I can arrange for a different technician to draw your blood."
B. "Let me help you overcome your cultural bias by letting him draw your blood."
C. "There is no other technician, so you're just going to have to let him draw your blood."
D. "I don't think the technician is really Middle Eastern."
ANS: A
Item A demonstrates acceptance of the patient and attempts to create a less threatening situation for the patient. Item B makes an unsubstantiated assumption about the patient's biases. Item C will not contribute to the patient's sense of control, and sense of comfort and control is important in managing symptoms of PTSD. Item D minimizes the patient's concerns rather than responding empathically to them.
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