A client who has high blood pressure is having difficulty following their treatment plan. Which of the following factors should the nurse recognize as being the greatest barrier to the client's ability to be compliant?

Dietary salt restriction

Absence of symptoms

Addition of a new medication

A detailed plan of care

Answer and Explanation

The Correct Answer is B

A. Dietary salt restriction can be challenging, but patients often adapt over time with education and support; it is not usually the greatest barrier.

B. Many clients with high blood pressure feel well despite elevated readings, so the absence of symptoms can lead them to underestimate the seriousness of their condition and skip medications, making this the most significant barrier.

C. Adding a new medication may complicate the regimen, but understanding its purpose can improve adherence; it is less influential than asymptomatic disease.

D. A detailed plan of care is intended to guide the client, and while complexity can be a barrier, it is typically easier to address with education and support than the lack of perceived need due to no symptoms.

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Correct Answer is A

Explanation

A. Initiating the process to review the medical record is appropriate; clients have the right to access their medical information under HIPAA regulations, and the nurse can assist in starting that process.

B. While there are restricted parts of a medical record, the response lacks a proactive approach to assisting the client in accessing the information they have the right to view.

C. This response is dismissive of the client's request and does not provide an avenue for understanding the medical record better.

D. Although the provider can provide more detailed information about treatment, it does not

A. Reports suspected child maltreatment to social services B. Notifies the health department of a client's diagnosis of chlamydia C. Tells the hospital chaplain a client's diagnosis D. Informs the provider about a client's suicide plan E. Reports suspected child maltreatment to social services

Correct Answer is C

Explanation

A. Reporting suspected child maltreatment is a legal and ethical responsibility of the nurse; this action is appropriate and does not require intervention.

B. Notifying the health department about a client's diagnosis of chlamydia is a legal requirement, as it is a reportable disease, so this action is appropriate.

C. Sharing a client’s diagnosis with a hospital chaplain without the client's consent could violate the client's confidentiality and requires intervention.

D. Informing the provider about a client's suicide plan is a critical action for patient safety and does not require intervention.

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A client who has high blood pressure is having difficulty following their treatment plan. Which of the following factors should the nurse recognize as being the greatest barrier to the client's ability to be compliant?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is A

Explanation

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Correct Answer is C

Explanation

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