A student nurse prepares to administer oral medications to a patient with major depression, but the patient refuses the medication. The student nurse should:
a. tell the patient, "I'll get an unsatisfactory grade if I don't give you the medication."
b. tell the patient, "Refusing your medication is not permitted. You are required to take it."
c. explore the patient's concerns about the medication, and report to the staff nurse.
d. document the patient's refusal of the medication without further comment.
ANS: C
The patient has the right to refuse medication in most cases. The patient's reason for refusing should be ascertained, and the refusal should be reported to a unit nurse. Sometimes refusals are based on unpleasant side effects that can be ameliorated. Threats and manipulation are inappropriate. Medication refusal should be reported to permit appropriate intervention.
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