A 15-year-old patient is concerned because her mother wants her to receive the human papillomavirus (HPV) vaccination, but the patient is unsure if she wants it. Which response by the nurse is most therapeutic?
a. Ask the patient what concerns she may have about the vaccination.
b. Inquire about how many sexual partners she has had in the past year.
c. Remind her that her mother knows best and that she should respect her parents' wishes.
d. Promote the importance of the vaccine, and recommend that the patient get the vaccine as soon as possible.
ANS: A
The nurse should encourage health promotion behaviors but first must consider the autonomy of the patient and assess the patient for more data. The nurse should value the input of the patient in making a decision and assess what the patient is thinking to address any concerns the patient may have. The HPV vaccine is a preventative treatment; whether or not the patient is sexually active (asking about how many sexual partners) does not matter in this case. The nurse should not make assumptions about a patient's home life (mother knows best); instead, the nurse should ask questions while establishing a therapeutic relationship. Recommending the patient get the vaccine as soon as possible is in violation of the patient's rights.
You might also like to view...
In doing an initial assessment of a Native American, the nurse should be aware of the fact that
a. Native Americans like to relate their personal history b. Many Native Americans find the personal questions asked during a history offensive c. Native Americans who speak English are completely comfortable with the U.S. health-care system d. Many Native Americans rely solely on the Indian Health Care Services for health care
During the nutritional assessment, the nurse learns that a client with uncontrollable type 2 diabetes mellitus consumes a boiled wheat mixture soaked with sugar and cinnamon for breakfast every day as part of a cultural preference. What should the nurse suggest to this client?
a. Eat less of the item every day b. Eliminate the item from the diet c. Eat the item only on the weekends d. Make the item with artificial sweetener
A patient comes into the emergency department with complaints of feeling weak, confused, and having abdominal cramps after spending several hours in the hot sun attending a baseball game. The patient's blood pressure is 96/58 mm Hg. The nurse would conduct additional assessment for which condition?
1. Hyponatremia 2. Hypercalcemia 3. Hypernatremia 4. Hypocalcemia
Colon cancer runs in Janes family. She may be able to decrease her risk of developing this cancer if she increases her intake of
a. fish and bran. b. apples, strawberries and citrus fruit. c. oatmeal, barley and legumes. d. whole grains and vegetables.