The physician has prescribed quetiapine (Seroquel) for the patient with chronic auditory hallucinations. The patient has stopped taking the medication. The nurse incorrectly uses the diagnosis of "noncompliance." In which situation would this diagnosis be appropriate?
1. The patient reported a physical change as the reason for stopping the medication.
2. The patient made an informed decision not to take the medication.
3. The patient was unsure about how to order a refill for the prescription.
4. The patient did not understand why the medication was prescribed.
2
Rationale 1: If the patient reports a physical change as the reason for stopping the medication, the nursing diagnosis should be related to that change. For example, if the patient reports being fatigued, the nursing diagnosis would relate to that finding.
Rationale 2: Noncompliance assumes that the patient has been properly educated about the medication and has made an informed decision not to take it.
Rationale 3: Being unsure of the way to obtain a refill on the medication is related to a knowledge deficit, not noncompliance.
Rationale 4: Not knowing why the medication was prescribed related to a knowledge deficit, not noncompliance.
Global Rationale: Noncompliance assumes that the patient has been properly educated about the medication and has made an informed decision not to take it. A lack of understanding of the reason the medication was prescribed or being unsure of how to obtain an prescription refill are related to a knowledge deficit, not noncompliance. Reports of a physical change since taking the medication would be diagnosed as pertaining to the change.
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