The physician has prescribed quetiapine (Seroquel) for the patient with chronic auditory hallucinations. The patient has stopped taking the medication. The nurse incorrectly uses the diagnosis of "noncompliance."
What is essential for the nurse to assess prior to using this nursing diagnosis?
1. Do cultural or religious issues have an impact on taking the medication?
2. Has the patient made an informed decision not to take the medication?
3. Is the noncompliance related to a lack of finances?
4. Did the patient understand why the medication had been prescribed?
5. Are side effects causing the patient to refuse the medication?
Correct Answer: 1,3,4,5
Rationale: A lack of understanding of the reason the medication was prescribed, the occurrence of side effects, cultural or religious issues, and a lack of finances, can all contribute to noncompliance with medications. Noncompliance assumes that the patient has been properly educated about the medication and has made an informed decision not to take it. The nursing diagnosis of noncompliance would not be appropriate in this case.
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