A patient who is homeless has not followed through with getting an influenza vaccination. What response by the nurse to a student is most appropriate?
a. "It's hard to be proactive when you are hungry."
b. "If the patient would just come in, we have the shot."
c. "These patients never follow through on directions.
d. "Too bad we can't take the shot to him where he is."
A
Competing priorities often cause patients to seem uninterested or "noncompliant" with health recommendations. According to Maslow, basic needs such as food, water, shelter, and safety take priority over other matters. Perhaps it is a good idea to take shots into the community, but that is not the best response by the nurse, as it does not help the student understand the situation. The other two statements are biased and show disregard for the patient's circumstances.
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