The nurse suspects that the patient has not been taking his prescribed antihypertensive medication because the patient's blood pressure remains elevated. What is the best therapeutic question the nurse can ask that will assess noncompliance?
1. "Taking medication is difficult for many people. What are some of your concerns about the medication?"
2. "Your blood pressure is really high; do you realize the serious consequences of not taking your medication?"
3. "I really doubt that you are taking your medication. What would you think about talking to the doctor?"
4. "You are one of my favorite patients and I want you to be safe. Are you really taking your medication?"
1
Rationale 1: The most therapeutic question informs the patient that compliance is difficult for many people, and does not directly challenge the patient about not taking the medication.
Rationale 2: Telling the patient his blood pressure is high and there are serious consequences is using the "scare tactic," and is non-therapeutic; the patient most likely is aware of the consequences.
Rationale 3: Telling the patient that the nurse doubts he is taking the medication directly challenges him, and recommending that he see the physician is threatening.
Rationale 4: Telling the patient that he is a favorite is manipulating.
Global Rationale: The most therapeutic question informs the patient that compliance is difficult for many people, and does not directly challenge the patient about not taking the medication. Telling the patient that the nurse doubts he is taking the medication directly challenges him, and recommending that he see the physician is threatening. Telling the patient his blood pressure is high and there are serious consequences is using the "scare tactic," and is non-therapeutic; the patient most likely is aware of the consequences. Telling the patient that he is a favorite is manipulating.
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