A client with advanced heart disease says, "I read about a new drug that was just released. Do you think my doctor could get it for me?" What should the nurse include in discussion with the client? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Standard Text: Select all that apply

Question

1. "Since the drug is new it is dangerous to use."
2. "Decisions on using drugs are based on many different variables."
3. "We certainly can talk to your physician about the drug."
4. "When drugs are first developed they are very expensive and their use is limited to those who can afford to purchase them."
5. "People who are very sick often have unrealistic expectations of what drugs can do."

Answer 1

2,3
Rationale 1: It is non-therapeutic to tell the client the drug is dangerous. At this point, the nurse has no knowledge of which drug is being discussed.
Rationale 2: Use of particular drugs is based on many different variables, including cost-benefit ratio.
Rationale 3: The nurse should support the client's interest in this drug by advocating for a discussion about its use.
Rationale 4: The nurse should not assume the drug is expensive or that the client is unable to obtain it.
Rationale 5: It is non-therapeutic to tell the client that interest in this drug is unrealistic.
Global Rationale: It is non-therapeutic to tell the client the drug is dangerous. At this point, the nurse has no knowledge of which drug is being discussed. Use of particular drugs is based on many different variables, including cost-benefit ratio. The nurse should support the client's interest in this drug by advocating for a discussion about its use. The nurse should not assume the drug is expensive or that the client is unable to obtain it. It is non-therapeutic to tell the client that interest in this drug is unrealistic.