A nurse is caring for a client who states, "I am not going to take my medication anymore." Which of the following responses should the nurse make?
'You won't get better unless you take the medication."
'I always do what the doctor tells me to do.'
'Why don't you want to take the medication?
'Tell me more about this decision’
The Correct Answer is D
A. "You won't get better unless you take the medication.": This response uses a directive and judgmental tone. It focuses on compliance rather than exploring the client’s feelings or reasons for refusing treatment, which may cause the client to become defensive.
B. "I always do what the doctor tells me to do.": This response shifts the focus away from the client and provides no opportunity for therapeutic communication. It minimizes the client’s concerns and discourages open dialogue about their reasoning or emotional state regarding medication refusal.
C. "Why don't you want to take the medication?": Although this question seeks to understand the client’s perspective, the phrasing is direct and may sound confrontational. It could make the client feel pressured or judged rather than supported in sharing their feelings or fears.
D. "Tell me more about this decision.": This response because it invites the client to express their thoughts, feelings, and concerns in a nonjudgmental way. It encourages open communication and allows the nurse to assess the underlying reason for noncompliance, such as side effects or fear.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Determine your opinion of the best route for giving the medications: The nurse must always follow the prescribed route as ordered by the healthcare provider to ensure therapeutic effectiveness and patient safety.
B. Chart only those medications that she or he personally gave the patient: Each nurse is responsible for documenting only the medications they personally administer, maintaining accountability and accurate medical records.
C. Chart all the medications given for the day at one time: Medications should be documented immediately after administration, not in bulk, to prevent omissions or duplications.
D. Chart medications before administering them: Documenting before administration can lead to serious errors if the medication is withheld or refused by the patient.
Correct Answer is C
Explanation
A. When the nurse determines the medication is needed.: This describes a PRN (as needed) order, not a STAT order. PRN medications are administered based on patient symptoms and nursing judgment, not immediate urgency.
B. Once and repeating at a specified time.: This refers to a single or one-time order that can be repeated later at a defined interval if prescribed, but it does not carry the urgency of a STAT order.
C. Immediately and only once.: A STAT order requires the medication to be administered right away, usually in response to an urgent or emergency situation. Lorazepam 1 mg IV STAT should be given promptly and only once unless new orders are provided.
D. On an indefinite basis.: This describes a standing or routine order that continues until discontinued by the provider. STAT orders are not ongoing; they are meant for immediate, one-time administration.
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