Which questions would the case manager ask the older adult client to assess for risk for nonadherence to a medication regimen?
1. "How do you feel about the possible side effects your medication may cause?"
2. "If we set you up with a pill holder, do you think you will be able to remember to take the medication?"
3. "I have put large labels on the bottles; can you see the print?"
4. "Do you feel you can afford the cost of the medication after your insurance pays its part?"
5. "Can your daughter visit every day to give you the medication?"
Correct Answer: 1,2,3,4
Rationale 1: Unpleasant side effects increase risk for nonadherence.
Rationale 2: Forgetfulness is a cause for nonadherence.
Rationale 3: Physical impairment such as poor vision can lead to nonadherence.
Rationale 4: Inability to purchase is a risk for nonadherence.
Rationale 5: This question assumes that the client is unable to self-administer the medication, which is not the same as assessing the older client's ability to adhere to the medication regimen.
Global Rationale: Unpleasant side effects, forgetfulness, physical impairment, and the inability to purchase all increase the risk for nonadherence. Asking the client if a daughter can visit every day to administer a medication assumes that the client is unable to self-administer the medication, which is not the same as assessing the older client's ability to adhere to the medication regimen.
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