A nurse has instructed a client several times what he needs to do to get better, but the client has not followed these instructions. Which of the following offers the best explanation for this behavior?
a. Barriers prevent action.
b. The client does not understand.
c. The client does not really care.
d. Barriers prevent desire to change.
ANS: A
Often the patient is blamed and labeled as being noncompliant. It is more helpful to wonder what barriers interfered with the patient's ability to engage in appropriate action. It is unlikely that the client doesn't understand or doesn't care, rather the barriers are preventing action from being taken. Barriers may prevent the change, but not necessarily the desire to change.
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