Author Question: A client tells the nurse at the medication management clinic that she hasn't taken her ... (Read 78 times)

burchfield96 · **on:** Jul 19, 2018

A client tells the nurse at the medication management clinic that she hasn't taken her antidepressant
medication as the physician directed; she forgets the midday dose because she has lunch with
friends and doesn't want to be different

because she takes pills. The most appropriate intervention
for the nurse would be to
a. investigate the possibility of once-daily dosing.
b. explain how taking each dose of medication on time relates to health
maintenance.
c. suggest she confide in a co-worker and ask if the co-worker would also take some
sort of medication at noon.
d. establish the nursing diagnosis of noncompliance with medication regimen
related to lack of knowledge on the care plan.

Question 2

An important facet of nursing care for a client with delirium who has fluctuating levels of
consciousness, disturbed orientation, and perceptual alterations is

a. avoidance of physical contact.
b. application of wrist and ankle restraints.
c. careful observation and supervision.
d. a high level of sensory stimulation.

mariahkathleeen · **Reply #1 on:** Jul 19, 2018

Answer to Question 1

ANS: A
Option A has the highest potential for helping the client achieve compliance. Many antidepressants
can be administered by once-daily dosing, a plan that increases compliance. Option B is reasonable
but would not achieve the goal because it does not address the issue of stigma. Option C: The
self-conscious client would not be comfortable doing this. Option D: A better etiology statement
would be related to social stigma.

Answer to Question 2

C
Careful observation and supervision are of ultimate importance because an appropriate outcome
would be that the client will remain safe and free from injury while hospitalized. Option A: Physical
contact during caregiving cannot be avoided. Option B: Restraint is a last resort. Option D: Sensory
stimulation should be reduced.