In questioning an older adult, which question is likely to elicit the most accurate information about the individual's adherence to the medication plan?
a. "You take digoxin (Lanoxin) at the correct time, don't you?"
b. "Why didn't you take all of your digoxin (Lanoxin) last month?"
c. "How many doses of digoxin (Lanoxin) do you think you missed?"
d. "You have never missed a dose of digoxin (Lanoxin), have you?"
C
"How many doses of digoxin (Lanoxin) do you think you missed?" is a question that is worded to put the client at ease and to elicit information in a matter-of-fact way. "You take digoxin (La-noxin) at the correct time, don't you?" sounds like a challenge to the patient's personal qualities. In addition, the nurse is leading the patient to the answer. The patient is likely to respond simply, "Oh, yes." Although the question, "Why didn't you take all of your digoxin (Lanoxin) last month?" is meant to elicit the reason for nonadherence, it has an accusatory tone that is likely to make the patient defensive. "You have never missed a dose of digoxin (Lanoxin), have you?" is a question that can be interpreted as judgmental.
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