A healthy 60-year-old African-American woman regularly receives health care at her neighborhood clinic.She is due for a mammogram.At her first visit,her physician,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 appointment and returned to the clinic today to have the nurse check her blood pressure.What is the most appropriate statement for the nurse to make to this client?

Question

Quizplus · Accepted Answer

Offering to make an appointment for the client at your location is nonjudgmental and gives her options as to where she may have her mammogram.Furthermore,it is an innocuous way to investigate the reasons the client missed her previous appointment.African-American women often have the perception that they are treated with prejudice by health care providers.Questioning the potential lack of transportation may promote this perception.Rather than reminding this woman that she has "missed her appointment" it might be preferable for the nurse to discuss the evidence behind the recommendations for a mammogram.The nurse can offer to reschedule should the client agree to return for the test.Telling the client that it is dangerous to skip mammograms can be perceived as judgmental and derogatory.It may alienate and embarrass the client.

A Healthy 60-Year-Old African-American Woman Regularly Receives Health Care at Her