A client refuses to take a prescribed medication, stating they no longer want to take it. Which nursing response best reflects an appropriate therapeutic approach to support client autonomy and encourage informed decision-making?
Tell me more about your concerns regarding this medication.
You must take your medication as prescribed to get better.
If you choose not to take it, you are responsible for the consequences.
Okay, I will notify the physician that you refuse your medication.
The Correct Answer is A
A. Tell me more about your concerns regarding this medication: This approach uses therapeutic communication to explore the client’s reasons for refusal, promotes understanding, and supports autonomy. It encourages informed decision-making while maintaining a collaborative nurse–client relationship.
B. You must take your medication as prescribed to get better: This directive approach is authoritarian and disregards the client’s right to make choices. It can increase resistance, reduce trust, and does not foster informed consent or engagement in care.
C. If you choose not to take it, you are responsible for the consequences: While legally accurate, this statement emphasizes blame rather than understanding. It may provoke anxiety or defensiveness and does not promote open communication or informed decision-making.
D. Okay, I will notify the physician that you refuse your medication: Notifying the provider is part of documentation and protocol, but this response does not engage the client in discussion or support exploration of their concerns. It addresses procedure rather than autonomy and education.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Enteral: Enteral administration involves delivering medication directly into the gastrointestinal tract, including oral, sublingual, or via feeding tubes. This route allows absorption through the digestive system and is commonly used for systemic effects.
B. Topical: Topical medications are applied to the skin, mucous membranes, or other body surfaces for local effect. They do not primarily utilize the digestive tract for absorption.
C. IV: Intravenous administration delivers medication directly into the bloodstream, bypassing the gastrointestinal tract entirely. It provides rapid systemic effect but is not considered enteral.
D. Parenteral: Parenteral administration refers to routes outside the gastrointestinal tract, such as subcutaneous, intramuscular, or intravenous injections. It bypasses digestion and absorption through the gut.
Correct Answer is A
Explanation
A. Chew the gum briefly: Nicotine gum is designed to be chewed slowly until a tingling or peppery taste is noticed, then “parked” between the cheek and gum to allow nicotine absorption through the oral mucosa. Brief, repeated chewing releases nicotine gradually, enhancing effectiveness and reducing gastrointestinal side effects.
B. Swallow the gum whole: Swallowing nicotine gum prevents absorption through the oral mucosa and can increase gastrointestinal upset. The intended route of absorption is buccal, not gastrointestinal.
C. Crush the gum with tools before chewing: Crushing the gum is unnecessary and can release nicotine too quickly, increasing the risk of side effects such as nausea, dizziness, or palpitations. The gum is formulated for gradual release when chewed properly.
D. Dissolve the gum completely in the mouth: Letting the gum dissolve without chewing does not effectively break the outer shell and limits nicotine release. Proper chewing is required to initiate the pharmacologic effect.
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