The nurse is concerned that a patient pregnant with a fetus with a genetic disorder is experiencing moral and ethical problems. What should the nurse offer to support the patient at this time?
Select all that apply.
1. The patient's use of coping mechanisms
2. Actions to take to reduce stress and anxiety
3. Reasons for terminating the pregnancy at this time
4. Assistance with thinking through the process to increase optimism
5. Ask if the patient has any particular spiritual advisor that can be contacted
Correct Answer: 1, 2, 4, 5
Problems that a patient facing a genetic disorder may experience include spiritual distress, ineffective coping, anxiety, and powerlessness. The use of coping mechanisms helps with the problem of ineffective coping. Actions to reduce stress and anxiety help with the problem of anxiety. Assisting to think through the process to increase optimism helps with the problem of powerlessness. Asking about a spiritual advisor helps with the problem of spiritual distress. The nurse should help the patient with problem solving and not suggest termination of the pregnancy.
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