A patient tells the nurse that she does not want to take a particular medication but does not want to tell the doctor because "he will be angry with me.". Which of the following should the nurse do to help this patient?
1. Encourage the patient to speak to the health care provider on her own behalf.
2. Tell the patient that the doctor does not need to know.
3. Offer to give the information to the doctor.
4. Tell the patient that if she does not take the medication, she might have more troubles in the future.
Encourage the patient to speak to the health care provider on her own behalf.
Rationale: Encouraging the patient to speak to the health care provider on her own behalf is an example of the values-based decision model of advocacy. The nurse should not encourage the withholding of the information from the health care provider. The nurse should not offer to tell the health care provider for the patient. The nurse should also not threaten the patient by saying if she does not take the medication she might have more troubles in the future.
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