The client is receiving a very expensive medication. The client asks the nurse why the medicine is so expensive. What is the best response by the nurse?
1. "It is expensive, but your insurance covers it and you have a low co-pay."
2. "Drug companies are allowed to advertise medications and this adds to the cost."
3. "Drug companies must recoup the cost of developing and producing the drug."
4. "I think the drug companies should be more accountable for lowering costs."
3
Rationale 1: Telling the client that insurance covers the drug doesn't answer the client's question.
Rationale 2: Advertising costs are expensive, but this answer implies the drug company is raising costs unnecessarily.
Rationale 3: If the cost of developing a new drug is not recouped by the drug company, there is no impetus for the company to continue drug development.
Rationale 4: It is non-therapeutic for the nurse to introduce her own beliefs, such as accountability of drug companies, into a conversation with the client.
Global Rationale: Telling the client that insurance covers the drug doesn't answer the client's question. It is non-therapeutic for the nurse to introduce her own beliefs, such as accountability of drug companies, into a conversation with the client.
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