The public health nurse notices that several patients in the hypertension clinic have poorly controlled hypertension, even though they have been prescribed appropriate antihypertensive drugs
Which question will best enable the nurse to assess these patients?
1. "Does your religion allow the use of high blood pressure medication?"
2. "Do you think your high blood pressure is a problem?"
3. "Can you afford the high blood pressure medication?"
4. "Does your culture use herbs to treat high blood pressure?"
Correct Answer: 3
Rationale: Once treatment is rendered, the cost of prescription drugs may be far too high for patients on limited incomes. The use of herbs may be important in the patient's culture, but the cost of the medication is more likely the problem. To ask a patient if they think hypertension is a problem should not be necessary; the nurse could eliminate this by appropriate medication education when the medication is prescribed for the patient. Religious beliefs could result in the patient not taking the medication, but the cost of the medication is more likely the problem.
You might also like to view...
A systematic review should address the components specified in PICOS. Why is this so? (Select all that apply.)
a. Interventional research always uses some means of comparison. b. "Interventions" that are actually naturally occurring conditions should be noted, since they decrease confirmatory power of the collective evidence. c. Study design is essential, since recommendations for change in practice can be based only on some designs. d. Desired outcomes, not actual outcomes of the study, are the focus of the review. e. The specific population from which a sample was drawn, and its similarity to those of others studies reviewed, affects generalizability.
A female client is diagnosed with human papilloma virus (HPV) infection. Which intervention by the nurse takes priority?
a. Instruct the client on using podofilox (Condylox) cream. b. Prepare the client for a Pap test and HPV DNA testing. c. Teach the client to take all medications until they are gone. d. Encourage the client to drink 8 to 10 glasses of water daily.
A patient tells the nurse he sees the doctor only when he's sick. The nurse realizes this patient follows a traditional approach to health care in which the focus is on treatment and cure of disease or the
a. nursing model c. medical model b. Neuman's model d. Orem's model
An abused child has been placed in a loving foster home. The foster parents express concern when the child has not developed a positive attachment after living in their home for the past 9 months
The case manager concludes that the child has developed which of the following? A) Acute stress disorder B) Adjustment disorder C) Disinhibited social engagement disorder D) Reactive attachment disorder