The nurse suspects that the patient has not been taking his prescribed antihypertensive medication because the patient's blood pressure remains elevated. What is the best therapeutic question the nurse can ask that will assess noncompliance?
1. "Taking medication is difficult for many people. What are some of your concerns about the medication?"
2. "Your blood pressure is really high; do you realize the serious consequences of not taking your medication?"
3. "I really doubt that you are taking your medication. What would you think about talking to the doctor?"
4. "You are one of my favorite patients and I want you to be safe. Are you really taking your medication?"
Correct Answer: 1
Rationale: The most therapeutic question informs the patient that compliance is difficult for many people, and does not directly challenge the patient about not taking the medication. Telling the patient that the nurse doubts he is taking the medication directly challenges him, and recommending that he see the physician is threatening. Telling the patient his blood pressure is high and there are serious consequences is using the "scare tactic," and is non-therapeutic; the patient most likely is aware of the consequences. Telling the patient that he is a favorite is manipulating.
You might also like to view...
A patient comes in for a physical examination and complains of "freezing to death" while waiting for her examination. The nurse notes that her skin is pale and cool and attributes this finding to:
a. Venous pooling. b. Peripheral vasodilation. c. Peripheral vasoconstriction. d. Decreased arterial perfusion.
A child who was struck by a car and suffered a closed head injury was unconscious for 24 hours before waking. The nurse recognizes this as a _______ brain injury
Fill in the blank(s) with correct word
Which lifestyle behaviors should the nurse discuss with a client to help reduce their risk of coronary artery disease?Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply.
A. Abstinence from smoking B. Decrease stress C. Limit alcohol consumption D. Maintain optimal weight E. Limit sodium intake
A patient has fallen several times in the past week when attempting to get to the bathroom. The patient informs the nurse that he gets up 3 or 4 times a night to urinate
Which recommendation by the nurse is most appropriate in correcting this urinary problem? a. Clear the path to the bathroom of all obstacles before bed. b. Leave the bathroom light on to illuminate a pathway. c. Limit fluid and caffeine intake before bed. d. Practice Kegel exercises to strengthen bladder muscles.