After the nurse implements a teaching plan for a newly diagnosed patient with hypertension, the patient can explain the information but fails to take the medications as prescribed. What is the nurse's next action?
a. Reeducate the patient, because learning did not occur because the patient's behavior did not change.
b. Assess the patient's perception and attitude towards the risks associated with not taking their anti-hypertensives.
c. Take full responsibility for helping the patient make dietary changes.
d. Ask the provider to prescribe a different medication, because the patient does not want to take this medication.
ANS: B
Although the patient behavior has not changed, the patient's ability to explain the information indicates that learning has occurred. The nurse would need to ask what the patient's perceptions are of taking the medications to determine if the patient understands the ramifications of not taking the medication. The patient may be in the contemplation or preparation state (see Health Belief Model). The nurse should reinforce the need for change and continue to provide information and assistance with planning for change.
You might also like to view...
The nurse is teaching a class of adolescents about the risk of skin cancer
One of the teens asks, "I know you can get skin cancer from lying in the sun, but tanning booths are different, right?" The nurse would include which of the following when responding? 1. While tanning booths are not as bad as the sun, they still increase the risk of skin cancer. 2. Tanning booths are worse than the sun because they emit more ultraviolet light. 3. Both tanning booths and the sun increase the risk of skin cancer, and should be avoided. 4. Occasional use of tanning booths is unlikely to be harmful if time is limited.
A patient is being discharged home on warfarin. The discharge teaching by the nurse should include a warning to avoid what?
A) St. John's wort B) Tarragon C) Ginkgo D) Saw palmetto
Pain is often untreated or undertreated; when this occurs, chronic pain may result. What can be the outcome?
A) Chronic sensitization syndrome B) Peripheral sensitization syndrome C) Complex regional pain syndrome D) Fibromyalgia pain syndrome
To help ensure the correct medication is given to the correct patient at the correct time the FDA plans in the future to use
2 A. a bar-coded identification system B. a smaller patient to hospital staff ratio C. a card similar to a credit card used to track medical history D. a joint computer system between hospitals and pharmacies