The patient tells the nurse that she is concerned about terrorist activity and questions if everyone should be immunized against smallpox. What is the best response by the nurse?
1. "The vaccine has side effects, which are serious and could kill many people."
2. "I really do not think our country has enough vaccine to do this."
3. "Don't be so concerned; if an attack comes, we will immunize people then."
4. "The vaccine has some serious side effects, but this is probably a good idea."
Correct Answer: 1
Rationale: An estimated 75,000 Americans could die if all Americans were vaccinated against smallpox. There is enough vaccine for all Americans to be vaccinated against smallpox. Telling a patient not to be concerned is a condescending and non-therapeutic response. Mass immunization is not warranted at this time, so it is not a good idea to vaccinate everyone against smallpox.
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