An HIV-positive patient is not adhering to the prescribed medication therapy. Which action by the nurse would be most effective at improving patient compliance and the long-term treatment of the disease process?
1. Confront the patient about the noncompliant behavior.
2. Talk with the patient about not adhering to the medication schedule.
3. Remind the patient that not following the recommended regimen may result in earlier death.
4. Warn the patient that if the treatment plan is not followed, reimbursement for services is not assured.
2
Rationale 1: Confronting the patient may lead to alienation, which would not be helpful.
Rationale 2: The first step of the nursing process is assessment. The nurse should talk with the patient to determine the reasons the medication schedule is not being followed.
Rationale 3: The patient should have already been educated about the reasons for the medication regimen. Scare tactics, such as warning of an early death, are not useful in gaining patient compliance.
Rationale 4: The nurse has no knowledge of how noncompliance will affect reimbursement for services. This warning is a threat, which has no place in nursing interventions.
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Answer
What will be an ideal response?