A patient's anxiety medication is an extended release tablet. The nurse should avoid:

A. IM: Means intramuscular, indicating injection into a muscle.

B. PR: Means per rectum, used for medications administered via the rectal route.

C. PO: Means per os, or “by mouth,” used for oral medication administration.

D. IV: Means intravenous, indicating administration directly into a vein.

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.