The nurse is implementing direct observance therapy (DOT) for a client being treated for tuberculosis in the community. The nursing student asks what this means. The nurse correctly responds by saying:
1. "The client must swear all medications have been taken."
2. "The nurse must physically observe the client taking the medication."
3. "A family member must swear that the client is taking the medication."
4. "The nurse must watch the client document that the medication has been taken."
Correct Answer: 2
Rationale 1: This statement does not meet the definition of DOT.
Rationale 2: DOT requires that a health care provider directly observe the client swallowing the pills.
Rationale 3: This statement does not meet the definition of DOT.
Rationale 4: This statement does not meet the definition of DOT.
Global Rationale: DOT requires that a health care provider directly observe the patient swallowing the pills, whether it is in the hospital, office, or home care setting. Nurses serve essential roles in providing education about this disorder to their patients and stressing the importance of adherence. The other statements do not explain DOT.
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