A military vet who recently returned from active duty in a Middle Eastern country and suffers from PTSD states he will not allow the lab tech, who is Iranian, to draw his blood
The patient states "He'll probably use a contaminated needle on me". Which of these is the most appropriate response by the nurse? A. "Let me see if I can arrange for a different technician to draw your blood."
B. "Let me help you overcome your cultural bias by letting him draw your blood."
C. "There is no other technician, so you're just going to have to let him draw your blood."
D. "I don't think the technician is really Middle Eastern."
A
Item A demonstrates acceptance of the patient and attempts to create a less threatening situation for the patient. Item B makes an unsubstantiated assumption about the patient's biases. Item C will not contribute to the patient's sense of control, and sense of comfort and control is important in managing symptoms of PTSD. Item D minimizes the patient's concerns rather than responding empathically to them.
You might also like to view...
A patient has been diagnosed with septic shock and is receiving intravenous fluid resuscitation along with other therapies. What nursing assessment best indicates improvement in tissue perfusion?
A) Mean arterial pressure 65 to 70 mm Hg B) SvO2 80% to 90% C) Skin warm and dry D) Arterial bicarbonate ion 22 to 24 mEq/L
The nurse is caring for a patient who is Muslim. What does the nurse recognize as typical core beliefs of the Islamic faith? Select all that apply
1. The universe has no beginning and no end. 2. It is the fastest growing religion worldwide. 3. There are three paths to spiritual fulfillment: knowledge, insight, and wisdom; action; and ecstatic devotion. 4. Suffering is a part of human growth and change, but God, Allah, does not test people beyond what they can bear. 5. On the last day, God, Allah will judge people based on what they have done and assign them to either heaven or hell.
A patient has recently been diagnosed with hypertension. Which of the following outcomes is most important in this patient?
A) Verbalization of an understanding of medical regimen B) Compliance with antihypertensive medications C) Multiple diastolic blood pressure readings <90 mm Hg D) Compliance with a low-sodium diet
The nurse caring for a patient with a personality disorder is conducting a safety assessment. Why is a safety assessment so important for the patient with a personality disorder?
1. Fall injuries from antipsychotic medications are common. 2. Patients with personality disorders lack safety awareness. 3. Self-injurious behaviors and suicide are common. 4. Patients with personality disorders are unable to make safe decisions.