Question

A nurse is caring for a female client who is scheduled to have a pelvic examination. The client tells the nurse, "I'm really nervous because I've never had a pelvic exam before." Which of the following is an appropriate therapeutic response by the nurse?

A. "A pelvic exam is required if you want birth control pills." Rationale: This closed-ended, nontherapeutic response discounts the client's feelings and does not encourage further discussion.
B. "Don't worry, I will stay in there with you for the exam." Rationale: This closed-ended, non therapeutic response does not encourage further discussion.
C. "All you need to do is relax during the exam." Rationale:

Answer 1

An appropriate nursing response to a nervous patient should include reassurance, information about procedures like Pap smears to reduce anxiety, and assurance of the nurse's supportive presence during the exam.

Step-by-step explanation:

An appropriate therapeutic response to a client who is nervous about having a pelvic examination for the first time would be to provide reassurance, information, and supportive presence during the exam. The appropriate response is neither of the ones provided, but rather something like, "It's completely normal to feel nervous about a pelvic exam, especially if it's your first time. I'll be there with you throughout the procedure to make sure you're comfortable, and we can take steps to minimize any discomfort, such as using a smaller speculum and warm instruments. Please let me know if you feel any pain, and we can adjust the process accordingly."

This response acknowledges the client's feelings, provides information on what can be done to reduce discomfort, and offers support, thus encouraging an open dialogue and providing comfort.

Pap smears are a crucial screening tool for detecting cervical cancer and can save lives, reducing up to 80 percent of cervical cancer deaths. It is essential to describe the process to the patient, including the use of a speculum and the brief nature of any potential pain. Additionally, the patient can be informed about possible sensations such as mild cramping or light spotting that might occur post-procedure, but these are usually not cause for concern.