The nurse is reviewing the plan of care with a client who has ...

[savannahhooper]

The nurse is reviewing the plan of care with a client who has been diagnosed with schizophrenia. The client is not compliant with the medications he has been placed on for treatment of his illness.
 
  Which of the following is the most appropriate response by the nurse in order to modify the plan of care? 1. I am going to tell the doctor you have not been taking your medication and she will be upset with you.
  2. Why would you stop taking your medications? That is stupid.
  3. Tell me what is going on with your medications.
  4. Does your family know you stopped taking your medication?

Question 2

The nurse is explaining the purpose of negotiating a behavioral contract to an adolescent's parents. A primary reason for the contract is:
 
  1. The contract is just between the client and nurse.
  2. It is a legal document.
  3. The terms cannot be changed once the contract is formed.
  4. There is less room for misinterpretation.

[angrybirds13579]

Answer to Question 1

3
Rationale: In order to modify the client's plan of care, the nurse must first find out why the client stopped taking the prescribed medications. The nurse will notify the doctor but it is inappropriate to tell the client that the doctor will be upset. Asking about the client's family knowledge is important but not the priority. Telling the client he is stupid is inappropriate and not therapeutic.

Answer to Question 2

4
Rationale: With most adolescents, a written contract is best since goals and expectations are less easily forgotten, the process seems more formal and serious, and there is less room for misinterpretation and manipulation. The contract is between the client and the staff, not just the nurse, and is not a legal document.

[savannahhooper]

TYSM

[kjohnson]

Excellent