A patient who returns to the emergency department 2 days after being seen is feeling no better. On assessing the patient, the nurse learns that the antibiotic prescription the patient left with has not been filled
Which question or statement by the nurse would elicit the most information about this situation?
a. "I'd like to know why you haven't gotten that filled."
b. "Is that medicine too expensive for you to get filled?"
c. "Please tell me about the type of insurance you have."
d. "Why haven't you gotten that prescription filled yet?"
C
In a recent survey sponsored by the Kaiser Family Foundation, 33% reported relying on home remedies and over-the-counter drugs rather than visiting a doctor, and 28% postponed necessary care. Seventeen percent reported experiencing serious financial problems because of family medical bills. Seven percent reported being unable to pay for basic necessities such as food, heat, or housing because of health care costs. Forty percent reported being "very worried" about having to pay more for their health care or health insurance. The nurse should assess insurance status using open-ended statements.
Although the nurse is interested in why the prescription has not been filled, the goal is not to sound accusing.
"Is that medicine too expensive for you to get filled?" is a yes/no question that will elicit only a limited amount of information.
"Why" questions frequently promote defensive responses and are not the best choice for asking about sensitive information.
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1. Obtain shower chair. 2. Teach patient to alternate activity with rest periods. 3. Provide diet high in carbohydrates. 4. Encourage small, frequent meals. 5. Assess the use of accessory muscles with respiratory effort.