An adolescent patient who is 15 weeks pregnant refuses to have an alpha-fetoprotein test performed because, "I don't like needles." Which initial approach does the nurse take to achieve the testing?

Question

Quizplus · Accepted Answer

It is important for the nurse to explain the importance of the test in detecting serious birth defects. The nurse can also alleviate the patient's fear of needles by explaining the procedure and providing distraction techniques such as music or deep breathing exercises. Forcing the patient to undergo the test or involving a parent without the patient's consent is not respectful of the patient's autonomy and may damage the therapeutic relationship. If the patient continues to refuse testing, the nurse should notify the health care provider and document the refusal in the medical record.

An Adolescent Patient Who Is 15 Weeks Pregnant Refuses to Have