Author Question: A psychiatricmental health nurse is aware of the importance of promoting adherence to medication ... (Read 57 times)

anshika · **on:** Jul 19, 2018

A psychiatricmental health nurse is aware of the importance of promoting adherence to medication regimens. Which of the following reasons do clients cite most frequently as the cause for self-discontinuation of medication?

A) Fear of becoming addicted
B) Social stigma associated with taking psychotropic medications
C) Desire to control their own lives
D) Adverse effects

Question 2

A client with depression has a history of discontinuing her medications and relapsing, often using alcohol and other substances to self-medicate.

A new nurse case manager is evaluating the treatment plan developed to enhance the client's ability to manage her medication regimen. The case manager determines that the plan has been effective when the client makes which of the following statements?
A) I'm having some side effects, but I'm going to keep taking my medication.
B) I'm feeling very well. I'm happy and in good spirits. I will resume my medication as soon as I feel the depression returning.
C) I haven't had any side effects and will continue to take my medication, since it doesn't seem to be bothering me.
D) The medicine doesn't seem to be working. I called my therapist and made an appointment to discuss other medications. In the meantime, I'm still taking it.

jonathanballen97 · **Reply #1 on:** Jul 19, 2018

Answer to Question 1

Ans: D
Feedback:
Clients may have many reasons for failing to adhere to medication regimens. The most frequent reason is adverse effects, many of which are debilitating and difficult to manage.

Answer to Question 2

Ans: D
Feedback:
Nurses use a combination of techniques to evaluate medication adherence. The most important monitoring comes from discussing with clients their perceptions of responses to medication. Clients may share that they believe their psychiatric symptoms have improved (a positive response), but that they are experiencing adverse effects (negative). In monitoring for effectiveness of treatment, it is most favorable for the client to also express appropriate direction for self-care, such as seeking further care from a health professional.