A teenage girl diagnosed with polycystic ovary syndrome tells the nurse, "I refuse to take oral contraceptives since I am not sexually active." What is the best response to the girl?
A) "It's important for you to take the pills even if you're not sexually active in order to prevent unwanted symptoms of the disease."
B) "The doctor has prescribed these for you because it is an effective treatment method for the disease."
C) "I know it's hard remembering to take those pills every day. Tell me more about what is making you not want to take the oral contraceptives."
D) "Do your parents know that you are not taking the treatment medication your doctor prescribed?"
Ans: C
This response shows empathy to the client and encourages her to further discuss the reasons they are non-compliant with the prescribed treatment regimen. "It's important for you to take the pills even if you're not sexually active...," and "The doctor has prescribed these for you because it is an effective treatment..." are accurate statements, but they are not methods of therapeutic communication and do not lead to further discussion about the noncompliance. Asking if the parents know she isn't taking the medications leads to mistrust of the nurse.
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