A nurse is caring for a client who states, "I am not going to take my medication anymore." Which of the following responses should the nurse make?
'You won't get better unless you take the medication."
'I always do what the doctor tells me to do.'
'Why don't you want to take the medication?
'Tell me more about this decision’
The Correct Answer is D
A. "You won't get better unless you take the medication.": This response uses a directive and judgmental tone. It focuses on compliance rather than exploring the client’s feelings or reasons for refusing treatment, which may cause the client to become defensive.
B. "I always do what the doctor tells me to do.": This response shifts the focus away from the client and provides no opportunity for therapeutic communication. It minimizes the client’s concerns and discourages open dialogue about their reasoning or emotional state regarding medication refusal.
C. "Why don't you want to take the medication?": Although this question seeks to understand the client’s perspective, the phrasing is direct and may sound confrontational. It could make the client feel pressured or judged rather than supported in sharing their feelings or fears.
D. "Tell me more about this decision.": This response because it invites the client to express their thoughts, feelings, and concerns in a nonjudgmental way. It encourages open communication and allows the nurse to assess the underlying reason for noncompliance, such as side effects or fear.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["A","C","D"]
Explanation
A. Right Time.: Administering medication at the correct time ensures that therapeutic drug levels are maintained and treatment effectiveness is achieved. Timing is especially critical for antibiotics, insulin, and pain medications to prevent complications or loss of efficacy.
B. Right Pharmacy.: While obtaining medications from a reliable pharmacy is important, it is not one of the official “rights” of medication administration. The rights focus on safe nursing practices during medication delivery rather than procurement sources.
C. Right Patient.: Verifying the right patient prevents administration errors and potential harm. This is typically done by checking at least two identifiers, such as the client’s full name and date of birth, before giving any medication.
D. Right Route.: Ensuring the correct route of administration (e.g., oral, IV, IM) guarantees that the medication reaches the intended site of action. Administering a drug via the wrong route can alter absorption and lead to serious adverse effects.
E. Right Color.: The color of a medication is not part of the medication administration rights. Color can vary among brands and formulations, and relying on appearance instead of proper verification increases the risk of medication errors.
Correct Answer is B
Explanation
A. HS.: HS stands for “at bedtime” or “hour of sleep.” It is used when a medication is to be administered once daily in the evening or before sleeping, not on an as-needed basis.
B. PRN.: PRN means “as needed” and is derived from the Latin phrase pro re nata. It indicates that a medication should be given only when necessary, such as for pain, nausea, or anxiety, based on the patient’s condition and nursing assessment.
C. PO.: PO stands for “by mouth” or “orally.” It refers to the route of medication administration, not the frequency or timing of dosing.
D. MAR.: MAR stands for “Medication Administration Record,” which is the document or electronic chart used by healthcare providers to record and verify medication administration times, doses, and routes.
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