An older adult patient is having difficulty remembering when to take several of the prescribed medications. To improve the patient's compliance with the medication regimen, the nurse.

informs the patients physician about the drug noncompliance

checks the drug guide to see if decreasing the frequency if the drugs is possible

asks the patients spouse to consistently administer the drugs

teaches the patient to administer daily pills with a pill dispenser

Answer and Explanation

The Correct Answer is D

A.   While it's important to communicate any concerns about medication adherence with the physician, the nurse should first try to address the underlying issue, which in this case is the patient's memory impairment.
B.   While decreasing the frequency of medications may be possible in some cases, it's important to consult with the physician before making any changes to the medication regimen.
C.   Relying on a family member to administer medications can be problematic, as it may not be feasible for them to do so on a regular basis. It's important for the patient to take responsibility for their own medication management, with the support of the nurse.
D.   Memory impairment is a common problem in older adults and can affect medication adherence. Using a pill dispenser can help patients remember when to take their medications. Pill dispensers are often organized by day and time, making it easier for patients to keep track of their medication schedule.

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Correct Answer is B

Explanation

A. This question focuses on future preparedness and may come off as presumptive or confrontational. It doesn't directly address the patient's personal feelings or experiences but rather implies an expectation about how they and their spouse will handle the situation over time. This might not encourage an open discussion about the patient's personal perception of their sexuality.
B. This question directly addresses how the sexual dysfunction affects the patient’s intimate relationship, which can provide insight into the patient's personal perception and emotional response to the problem. It allows the patient to discuss how their condition affects their intimate life and personal feelings, promoting a deeper understanding of their experience.
C. This question focuses on coping mechanisms and may shift the focus away from the patient's personal feelings to how both partners are managing the situation. While it can provide useful
information about coping strategies, it may not fully explore the patient’s individual perceptions and
emotional impact.

D. This question explores relational issues caused by the sexual dysfunction. It might elicit information about interpersonal conflicts or challenges but might not fully capture the patient’s personal feelings about their sexuality or how the dysfunction specifically impacts their self-perception and intimate experiences.

A. age B. functional status C. gender D. financial status

Correct Answer is B

Explanation

A. While age can influence health and care needs, it is not the primary criterion for assessing a patient's ability to maintain independence. The impact of age varies greatly among individuals, and functional status is a more direct measure of a person's ability to perform daily activities and manage their health.
B. Functional status refers to the patient's ability to perform daily activities and manage self-care. For someone with rheumatoid arthritis, functional status is crucial because the disease can significantly affect physical abilities due to joint pain, stiffness, and deformities. Assessing and optimizing functional status helps ensure that the patient can maintain independence by adapting their environment, using assistive devices, and implementing strategies to manage symptoms effectively.
C. Gender itself does not directly determine a patient's ability to maintain independence. While certain conditions may have different prevalence rates or impacts based on gender, independence is more closely related to functional abilities and health management rather than gender.
D. Financial status can influence access to resources, healthcare, and support services, but it is not the primary determinant of a patient's functional ability or independence. While financial resources are important for accessing necessary treatments and support, they do not directly impact the patient's functional capacity.

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An older adult patient is having difficulty remembering when to take several of the prescribed medications. To improve the patient's compliance with the medication regimen, the nurse.

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