A student nurse is assigned to administer oral medications to her assigned client. The client refuses
to take the medication. The student nurse should
a. tell the client that she will receive a poor grade if she doesn't administer the
medication.
b. tell the client that refusal is not permitted and staff will require him to take the
medication.
c. document the client's refusal on the medication administration record without
comment.
d. ask the client's reason for refusing and report to the coassigned nurse.
ANS: D
The client has the right to refuse medication unless a court order to medicate has been obtained. The
client's reason for refusing should be ascertained, and the refusal should be reported to a unit nurse.
Sometimes refusals are based on unpleasant side effects that can be ameliorated. Options A and B:
Threats and manipulation are inappropriate. Option C: Medication refusal should be reported to
permit appropriate intervention.
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