The mother of an adolescent receiving methylphenidate (Concerta) for attention-deficit hyperactivity disorder tells the nurse that her son is better and asks why she can't just get refills on the prescription. What is the best response by the nurse?
1. "Just drop by and I will get a prescription for you without seeing your son."
2. "We can't do that; maybe you can find another doctor's office that will do it."
3. "The law does not allow us to give you refills on this medication."
4. "The medication can be addictive so your son needs a monthly medical evaluation."
4
Rationale 1: Schedule II medications cannot be refilled without the client being seen by the physician.
Rationale 2: Referring the mother to another office is non-therapeutic and implies that other medical offices violate the law.
Rationale 3: Telling the mother about the law is accurate, but it is a non-therapeutic response; the mother needs an explanation.
Rationale 4: Telling the mother the reason for monthly evaluations is a therapeutic response that is correct and answers the mother's question.
Global Rationale: Telling the mother the reason for monthly evaluations is a therapeutic response that is correct and answers the mother's question. Schedule II medications cannot be refilled without the client being seen by the physician. Telling the mother about the law is accurate, but it is a non-therapeutic response; the mother needs an explanation. Referring the mother to another office is non-therapeutic and implies that other medical offices violate the law.
You might also like to view...
The nurse is caring for a patient diagnosed with cancer of the liver who has chosen to remain in his home as long as he is able
The nurse reviews the care plan for the patient and notes that it focuses on palliative measures. The nurse also notes that over the last 3 weeks, the patient's condition has continued to deteriorate. What is the nurse's best response to this clinical information? A) Recognize that death will most likely occur in the next week. B) Recognize that the patient is in the trajectory phase of chronic illness and should be kept pain-free. C) Recognize that the patient is in the downward phase of chronic illness and should be reassessed. D) Recognize that the patient should immediately be admitted into the hospital.
The nurse caring for a client who plans to become pregnant soon explains the importance of folic acid before conception, and instructs the client to eat plenty of:
A) organ meats. B) dairy products. C) dark green, leafy vegetables and dried beans. D) yellow vegetables.
Use of a doppler ultrasonic flow meter
What will be an ideal response?
Aspirin, taken orally, is beneficial for the treatment of arthritis, but tends to irritate the lining of the stomach. This side effect is controlled by giving the drug with milk or ________.
Fill in the blank(s) with the appropriate word(s).