A clinic nurse is discussing an acne medication regimen with an adolescent client. Which statements by the adolescent represent common problems with adherence?

Question

1. "I was taking the medicine for a while, but it didn't seem to be working."
2. "I took it the first month but my mom got busy and kept forgetting to get my refill."
3. "I felt nauseous whenever I took the medicine."
4. "The nurse explained everything to me so that I could understand."
5. "I only have to take the medication once a day."

Answer 1

Correct Answer: 1,2,3
Rationale 1: High expectations of a successful outcome will help clients adhere to a medication regimen. If the medication does not meet these expectations, the client may stop taking it.
Rationale 2: Clients are more likely to follow a medication regimen if they have supportive family members.
Rationale 3: Clients are more likely to adhere to a medication regimen if there are minimal adverse effects. Teaching the client to take this medication with food may decrease the nausea and improve adherence.
Rationale 4: Positive interactions with staff may increase adherence.
Rationale 5: A simple, short-term, inexpensive regimen with minimum daily disruption helps to increase adherence.
Global Rationale: High expectations of a successful outcome will help clients adhere to a medication regimen. If the medication does not meet these expectations, the client may stop taking it. Clients are more likely to follow a medication regimen if they have supportive family members. Clients are more likely to adhere to a medication regimen if there are minimal adverse effects. Teaching the client to take this medication with food may decrease the nausea and improve adherence. Positive interactions with staff may increase adherence. A simple, short-term, inexpensive regimen with minimum daily disruption helps to increase adherence.