Which of the following actions by a nurse can help reduce a client's anxiety related to medication administration? (Select all that apply)
Forcing the client to take the medication
Ignoring the client's concerns about the medication
Explaining the potential adverse effects of the medication
Allowing the client to ask questions about the medication
Administering medication without any prior explanation
Verifying the client's understanding of the medication
Correct Answer : C,D,F
A. Forcing the client to take the medication: Forcing a client can increase anxiety, reduce trust, and may be considered coercive. Promoting a sense of control and collaboration is essential for reducing medication-related anxiety.
B. Ignoring the client's concerns about the medication: Ignoring concerns can exacerbate anxiety and lead to noncompliance. Addressing questions and fears helps the client feel heard and supported.
C. Explaining the potential adverse effects of the medication: Providing information about possible side effects prepares the client and reduces fear of the unknown. Clear explanations help the client anticipate reactions and respond appropriately, promoting a sense of control.
D. Allowing the client to ask questions about the medication: Encouraging questions fosters understanding and reduces uncertainty. Open communication allows the client to clarify misconceptions and increases confidence in the treatment plan.
E. Administering medication without any prior explanation: Administering medication without explanation can heighten anxiety, create mistrust, and reduce adherence. Clients benefit from knowing what to expect before receiving medication.
F. Verifying the client's understanding of the medication: Confirming comprehension ensures the client is informed and capable of participating in their care. This reassurance can reduce anxiety and improve adherence to the prescribed regimen.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. "I had my INR checked three weeks ago.": Regular INR monitoring is essential for clients on warfarin to ensure therapeutic anticoagulation. Reporting recent INR testing demonstrates adherence to monitoring guidelines and does not indicate a need for further teaching.
B. "I take this medication at the same time each day.": Consistent timing helps maintain stable anticoagulation levels. This statement reflects proper adherence to the prescribed regimen and indicates understanding of medication management.
C. "I have started taking ginger root to treat my joint stiffness.": Ginger can increase the risk of bleeding in clients taking warfarin due to its antiplatelet effects. There is need for teaching about potential drug–herb interactions and safety precautions while on anticoagulant therapy.
D. "I eat a green salad every night with dinner.": Consuming green vegetables is acceptable as long as intake is consistent because they contain vitamin K, which can affect warfarin levels. This statement shows awareness of diet considerations.
Correct Answer is B
Explanation
A. Anger: Anger stage is marked by frustration and resentment, often directed at caregivers, family, or the situation itself. Clients may question why the illness happened to them, but this scenario shows refusal to accept the reality of permanent kidney failure, not anger.
B. Denial: Denial is the refusal to accept the seriousness or permanence of a condition. The client’s belief that their kidneys are working again and that dialysis may no longer be needed reflects avoidance of the reality of end-stage kidney disease, making denial the best match.
C. Depression: The depression stage involves sadness, withdrawal, and hopelessness as the client begins to grasp the full impact of the illness. The client in this case is not expressing despair but instead minimizing the seriousness of the disease.
D. Bargaining: Bargaining is characterized by attempts to negotiate for more time or a different outcome, often expressed as “If I do this, then things will change.” The client is not making deals or promises but rather refusing to accept the condition.
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