A healthy 60-year-old African-American woman regularly receives ...

[karen]

A healthy 60-year-old African-American woman regularly receives her health care at the clinic in her neighborhood. She is due for a mammogram.
 
  At her first clinic visit, her physi-cian, concerned about the 3-week wait at the neighborhood clinic, made an appointment for her to have a mammogram at a teaching hospital across town. She did not keep her appoint-ment and returned to the clinic today to have the nurse check her blood pressure. What would be the most appropriate thing for the nurse to say to this patient? 1. Do you have transportation to the teaching hospital so that you can get your mammogram?
  2. I am concerned that you missed your appointment; let me make you another one..
  3. It is very dangerous to skip your mammograms; your breasts need to be checked..
  4. Would you like for me to make an appointment for you to have your mammo-gram here?

Question 2

You assist with a suprapubic aspiration for a urine specimen. You would anticipate being asked to perform which action during this procedure?
 
  A) Restraining the infant in a head-down position
  B) Pressing a gloved hand against the urinary meatus
  C) Turning the infant prone immediately following the procedure
  D) Counting respirations as the needle is withdrawn

[jennafosdick]

Answer to Question 1

4
1. Incorrect. African-American women often have the perception of being treated with pre-judice by health care providers. By questioning the potential lack of transportation, this may further lead to this perception.
2. Incorrect. African-American women report not participating in early breast cancer screening because breast cancer comes by chance and getting it is determined by a higher power. This statement is a reflection of the nurse's beliefs, not the patient's.
3. Incorrect. This type of statement can be perceived as judgmental and derogatory. It may alienate and embarrass the patient.
4. Correct. This statement is nonjudgmental and gives the patient options as to where she may have her mammogram. Furthermore, it is an innocuous way to investigate the reasons why the patient missed her previous appointment.

Answer to Question 2

B

[karen]

Excellent

[recede]

TYSM