The patient decides to discontinue standard medical treatment for diabetes mellitus and to rely on diet and herbal medications for blood sugar control. Which statement, made by the nurse, is most appropriate?
1. You are an adult and can do anything you want to do.
2. Don't you know that you are gambling with your health?
3. Why did you decide to make this change?
4. We need to talk about how medications work to control diabetes mellitus.
3
Rationale: Before the nurse makes any other comments, more assessment must be done. "Why did you decide to make this change?" will help gather data for this assessment. "You are an adult …" closes the conversation before adequate assessment is done. "Don't you realize …" belittles the patient. "We need to talk about …" could be helpful after the assessment initiated by the correct option is completed.
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