The client says to the nurse, "It's my right to refuse medications." Which statement best reflects the nurse's ability to create a mutual understanding?
1. "Refusing your medications is your right, but it won't get you out of here."
2. "Can you tell me why you're so angry that you will refuse your medications?"
3. "Can you tell me what concerns you have about medications?"
4. "If you refuse your medications, you will just get sick again."
3
Rationale: Asking the client to clarify concerns about medications shows that the nurse recognizes the client's goals may be different from the nurse's. Telling the client that refusing medications will result in getting ill or prevent discharge conveys that the nurse is threatened by the client's assertiveness. Interpreting that the client is angry suggests that the nurse is making assumptions about the client's refusal, rather than operating on the facts.
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A client is being discharged on warfarin therapy. Which of the following would the nurse include in the teaching plan for the client? Select all that apply
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The organization has noted an increase in negative patient variances related to medication administration. What steps should be taken by the organization? Select all that apply
1. Look for reasons for the variances. 2. Identify those at fault for the variances. 3. Document the variances in the medical records of the patients involved. 4. Try to find a resolution for the variances. 5. Rewrite the clinical pathways.