A nurse is caring for a client. The client states, "I don't want to take any medication.”. Which of the following actions should the nurse take?
Tell the client the physician wants the client to take the medicine.
Explain the purpose for the medication.
Ask the client why they are being difficult.
Document that the client refuses the medication.
The Correct Answer is D
Choice A rationale:
Telling the client that the physician wants them to take the medicine may not address the client’s concerns or fears about the medication.
Choice B rationale:
Explaining the purpose of the medication is important, but it does not directly address the client’s refusal.
Choice C rationale:
Asking the client why they are being difficult could escalate the situation and is not a respectful or therapeutic response.
Choice D rationale:
Documenting that the client refuses the medication is the most appropriate action as it accurately records the client’s decision and can inform future care planning.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A rationale:
Being inquisitive might make the patient feel interrogated and could discourage them from disclosing their herbal use.
Choice B rationale:
A non-judgmental approach encourages open communication and makes the patient feel comfortable to disclose their herbal use.
Choice C rationale:
Being determined might make the patient feel pressured and could discourage them from disclosing their herbal use.
Choice D rationale:
Being instructive might make the patient feel lectured and could discourage them from disclosing their herbal use.
Correct Answer is B
Explanation
Choice A rationale:
A banana shake is not appropriate because it is not a clear liquid. Clear liquids are foods that are clear and liquid at room temperature.
Choice B rationale:
Grape juice is a clear liquid, which is appropriate for a client who is 2 hours post-op and receiving a clear liquid diet.
Choice C rationale:
Scrambled eggs with avocado is not a clear liquid. It is a solid food, which is not appropriate for a client who is 2 hours post-op and receiving a clear liquid diet.
Choice D rationale:
Milk is not a clear liquid. It is a dairy product, which is not appropriate for a client who is 2 hours post-op and receiving a clear liquid diet.
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