A student nurse is assigned to administer oral medications to a client. Which of the following actions should a student nurse take if the client refuses to take prescribed oral medications?
Ask the client's reason for refusing and report it to the primary care nurse.
Document the client's refusal on the medication administration record without comment.
Tell the client that refusal is not permitted, and staff will require the client to take the medication.
Tell the client that the nurse will receive a poor grade if they do not administer the medication.
The Correct Answer is A
Choice A reason: This is the correct and professional response. Nurses must respect a client’s right to refuse medication and explore the reason behind the refusal. Reporting the refusal to the primary nurse ensures continuity of care and allows for appropriate follow-up, such as reassessment or education.
Choice B reason: While documentation is essential, recording the refusal without understanding the reason or notifying the primary nurse is incomplete. It may lead to missed opportunities for intervention or compromise client safety.
Choice C reason: Telling the client that refusal is not permitted violates ethical and legal standards. Clients have autonomy and the right to refuse treatment. Coercion undermines trust and can be considered abusive.
Choice D reason: This response is unprofessional and manipulative. It prioritizes the student’s academic concerns over the client’s rights and well-being. Such statements can damage therapeutic rapport and are inappropriate in clinical practice.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A reason: This is the correct and professional response. Nurses must respect a client’s right to refuse medication and explore the reason behind the refusal. Reporting the refusal to the primary nurse ensures continuity of care and allows for appropriate follow-up, such as reassessment or education.
Choice B reason: While documentation is essential, recording the refusal without understanding the reason or notifying the primary nurse is incomplete. It may lead to missed opportunities for intervention or compromise client safety.
Choice C reason: Telling the client that refusal is not permitted violates ethical and legal standards. Clients have autonomy and the right to refuse treatment. Coercion undermines trust and can be considered abusive.
Choice D reason: This response is unprofessional and manipulative. It prioritizes the student’s academic concerns over the client’s rights and well-being. Such statements can damage therapeutic rapport and are inappropriate in clinical practice.
Correct Answer is B
Explanation
Choice A reason: Spiritual beliefs are often included in the history section of a comprehensive assessment. They provide insight into the client’s values, coping mechanisms, and preferences for care, especially in end-of-life or culturally sensitive situations. Including spiritual beliefs helps tailor interventions to the client’s worldview and supports holistic care.
Choice B reason: Symptoms are typically documented in the present illness or current complaint section of the assessment, not the history section. The history section focuses on past events, conditions, and background information. Symptoms reflect current clinical presentation and are part of the physical or mental status examination.
Choice C reason: Age is a demographic detail that is routinely included in the history section. It helps contextualize health risks, developmental expectations, and appropriate interventions. Age is essential for interpreting clinical findings and planning age-appropriate care.
Choice D reason: Past medical history is a core component of the history section. It includes previous diagnoses, surgeries, hospitalizations, and chronic conditions. This information is vital for understanding the client’s baseline health and potential complications.
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