The physician recommends immediate hospital admission for a client with PIH. She says to the nurse, “It’s not so easy for me to just go right to the hospital like that.”
After acknowledging her feelings, which of these approaches by the nurse would probably be best?
A . Stress to the client that her husband would want her to do what is best for her health.
B . Explore with the client her perceptions of why she is unable to go to the hospital.
C . Repeat the physician’s reasons for advising immediate hospitalization.
D . Explain to the client that she is ultimately responsible for her own welfare and that of her baby.
Answer: B
Explanation:
(A) This answer does not hold the client accountable for her own health.
(B) The nurse should explore potential reasons for the client’s anxiety: are there small children at home, is the husband out of town? The nurse should aid the client in seeking support or interventions to decrease the anxiety of hospitalization.
(C) Repeating the physician’s reason for recommending hospitalization may not aid the client in dealing with her reasons for anxiety.
(D) The concern for self and welfare of baby may be secondary to a woman who is in a crisis situation. The nurse should explore the client’s potential reasons for anxiety. For example, is there another child in the home who is ill, or is there a husband who is overseas and not able to return on short notice?
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