The client has skin lesions that have not responded to prescription drugs. He tells the nurse he has heard about some research going on with a new drug and questions why he can't take it. What is the best response by the nurse?
1. "I know it is frustrating, but the Food and Drug Administration (FDA) approval process is in place to ensure that drugs are safe."
2. "The Food and Drug Administration (FDA) has very strict rules about new drugs; it is important to be patient regarding the review/approval process."
3. "Your skin lesions really aren't that bad, but maybe the new drug will be available soon."
4. "Maybe you could contact the drug company about becoming involved in a clinical trial."
1
Rationale 1: Although the public is anxious to receive new drugs, the fundamental priority of the Food and Drug Administration (FDA) is to ensure that drugs are safe. Also, telling the client that the nurse knows he is frustrated is therapeutic because it communicates that the nurse recognizes what he is feeling.
Rationale 2: Telling the client to be patient is a condescending response; the client wants relief from the skin condition.
Rationale 3: Telling the client his skin lesions "aren't that bad" is a non-therapeutic response; the client's perception is his reality.
Rationale 4: The client could contact the drug company, but this response fosters false hope as he may not be a viable candidate for this drug.
Global Rationale: Although the public is anxious to receive new drugs, the fundamental priority of the Food and Drug Administration (FDA) is to ensure that drugs are safe. Also, telling the client that the nurse knows he is frustrated is therapeutic because it communicates that the nurse recognizes what he is feeling. The client could contact the drug company, but this response fosters false hope as he may not be a viable candidate for this drug. Telling the client his skin lesions "aren't that bad" is a non-therapeutic response; the client's perception is his reality. Telling the client to be patient is a condescending response; the client wants relief from the skin condition.
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