A 14-year-old with cystic fibrosis suddenly becomes noncompliant with the medication regime. The intervention by the nurse that would most likely improve compliance is to:
1. Give the child a computer-animated game that presents information on the management of cystic fibrosis.
2. Arrange for the physician to sit down and talk to the child about the risks related to noncompliance with medications.
3. Set up a meeting with some older teens with cystic fibrosis who have been managing their disease effectively.
4. Discuss with the child's parents the privileges that can be taken away, such as a cell phone, if compliance fails to improve.
3. Set up a meeting with some older teens with cystic fibrosis who have been managing their disease effectively.
Rationale: Providing the adolescent with positive role models from his or her peer group is the intervention most likely to improve compliance. Interest in games might begin to wane at this age. Adult opinions, even from a physician, could be viewed negatively and challenged. Threatening punishment could further incite rebellion.
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