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?"
3
Rationale 1: Religious beliefs could result in the patient not taking the medication, but the cost of the medication is more likely the problem.
Rationale 2: 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.
Rationale 3: Once treatment is rendered, the cost of prescription drugs may be far too high for patients on limited incomes.
Rationale 4: The use of herbs may be important in the patient's culture, but the cost of the medication is more likely the problem.
Global 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.
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