The nurse reveals to the patient that the over-the-counter test ...

[dalyningkenk]

The nurse reveals to the patient that the over-the-counter test is verified and that she is pregnant. The patient confides to the nurse, We have wanted to be pregnant for some time. These last few days I have been questioning our decision.
 
  I am feeling really bad right now. What is the nurse's best response?
 
  a. You will come around in time and you will grow to love this baby.
  b. Don't feel bad. It is the hormones of pregnancy talking right now.
  c. Why do you think you are feeling bad when you wanted to be pregnant?
  d. Your feelings are understandable. Ambivalence is not uncommon right now.

Question 2

A patient arrives to the clinic 2 hours late for her prenatal appointment. This is the third time she has been late. What is the nurse's best action in response to this patient's tardiness?
 
  a. Ask the patient if she has a way to tell the time.
  b. Ask the patient if she is deliberately being late for her appointments.
  c. Determine if the patient wants this baby and if this is her way of acting out.
  d. Determine if the patient arrives after the start time for other types of appointments.

[okolip]

Answer to Question 1

ANS: D
Early in pregnancy, ambivalence is not uncommon because pregnancy is a life-changing event, even if planned and strongly desired. The client needs reassurance and validation of these natural feelings. Although it is true that the patient will grow to love the baby, this statement does not acknowledge her ambivalent feelings. Don't feel bad dismisses the patient's natural feelings and is a nontherapeutic response. Why is nontherapeutic and places the patient on the defensive in her response.

Answer to Question 2

ANS: D
Time orientation is viewed differently by other cultures. Native-Americans, Middle Easterners, Hispanics, and American Eskimos tend to emphasize the moment rather than the future. This causes conflicts in the health care setting, in which tests or appointments are scheduled at particular times. If a woman does not place the same importance on keeping appointments, she may encounter anger and frustration in the health care setting. Asking if she has a way to tell time does not get to the potential root of the problem. Asking if she is deliberately late is inconsiderate and nontherapeutic. Although her action may be an acting-out behavior, there are other considerations that must be considered first.

[dalyningkenk]

Thank you

[okolip]

Happy to help you