A 32-year-old woman who is diagnosed with Chlamydia tells the nurse that she is very angry because her husband is her only sexual partner. Which response should the nurse make first?
a. "You may need professional counseling to help resolve your anger."
b. "It is understandable that you are angry with your husband right now."
c. "Your feelings are justified and you should share them with your husband."
d. "It is important that both you and your husband be treated for the infection."
ANS: B
This response expresses the nurse's acceptance of the patient's feelings and encourages further discussion and problem solving. The patient may need professional counseling, but more assessment of the patient is needed before making this judgment. The nurse should also assess further before suggesting that the patient share her feelings with the husband because problems such as abuse might be present in the relationship. Although it is important that both partners be treated, the patient's current anger suggests that this is not the appropriate time to bring this up.
You might also like to view...
In your role as a community health nurse, you vote to deny services for well teenagers; instead, you support a proposal to allocate the county's limited resources to childhood immunizations. Which ethical principle are you supporting?
1. justice 2. beneficence 3. fidelity 4. nonmaleficence
Which assessment finding in a 36-year-old patient is most indicative of a need for further evaluation?
a. Bilateral breast nodules that are tender with palpation b. A breast nodule that is 1 cm in size, nontender, and fixed c. A breast lump that increases in size before the menstrual period d. A breast lump that is small, mobile, with a rubbery consistency
When conducting an admission assessment and taking an inventory of items that a patient has brought to the hospital, a nurse appropriately instructs the patient to send home with a family member her
1. Dentures. 2. Eyeglasses. 3. Credit cards. 4. Hearing aids.
The client and his wife receive the same medication for hypertension. The wife asks the nurse why she is receiving a higher dose of the medication. Which response by the nurse is the most appropriate?
1. "You have a greater percentage of body fat, so you need more medication." 2. "Females have a higher metabolism, so you need more medication." 3. "Your hormones are different from your husband's, so you need more medication." 4. "Everyone is unique and responds differently to medication."