A patient arrives to the clinic 2 hours late for her prenatal appointment. This is the third time she has been late. What is the nurse's best action in response to this patient's tardiness?
a. Ask the patient if she has a way to tell the time.
b. Ask the patient if she is deliberately being late for her appointments.
c. Determine if the patient wants this baby and if this is her way of acting out.
d. Determine if the patient arrives after the start time for other types of appointments.
ANS: D
Time orientation is viewed differently by other cultures. Native-Americans, Middle Easterners, Hispanics, and American Eskimos tend to emphasize the moment rather than the future. This causes conflicts in the health care setting, in which tests or appointments are scheduled at particular times. If a woman does not place the same importance on keeping appointments, she may encounter anger and frustration in the health care setting. Asking if she has a way to tell time does not get to the potential root of the problem. Asking if she is deliberately late is inconsiderate and nontherapeutic. Although her action may be an acting-out behavior, there are other considerations that must be considered first.
You might also like to view...
Which of the following would be an expected outcome in a patient who has been given atropine during a medical emergency?
A) Reduction of severe hypertension B) Increased level of consciousness C) Restoration of normal sinus rhythm D) Resolution of respiratory acidosis
The nurse has admitted a patient to the unit who has been experiencing bowel problems. The patient is to receive a bowel preparation for a radiologic procedure. The nurse would anticipate administration of which of the following medications?
a. Psyllium (Metamucil) b. Docusate sodium (Colace) c. Castor oil d. Bisacodyl (Dulcolax)
A director of nursing works in a hospital that serves many Jehovah's Witness patients. What action by the nurse would best facilitate culturally appropriate health care?
a. Establish a bloodless surgery program. b. Create an immunization clinic for children. c. Employ spiritual leaders from this faith. d. Allow faith healing ceremonies.
What is the most common side effect of an opioid used for 5 days?
a. Addiction b. Hallucinations c. Constipation d. Excessive thirst