Author Question: The nursing diagnosis Noncompliance related to unknown factors is established for a client with ... (Read 38 times)

Lisaclaire · **on:** Jun 25, 2018

The nursing diagnosis Noncompliance related to unknown factors is established for a client with hypertension who admits to occasionally taking prescribed antihypertensive medications.

Which behavior should the nurse demonstrate when discussing reasons for noncompliance with this client?
A) Indifference
B) Nonjudgmental
C) Direct
D) Confrontational

Question 2

The nurse teaches a client about lifestyle modifications to help manage hypertension. Which client statement indicates teaching has been effective?

A) I won't be able to run in marathons anymore.
B) I know I need to give up my cigarettes and alcohol.
C) I need to get started on my medications right away.
D) My father had hypertension, did nothing, and lived to be 90 years old.

matt · **Reply #1 on:** Jun 25, 2018

Answer to Question 1

Answer: B

The nurse who listens to the client openly and nonjudgmentally will both validate the client's self-esteem and communicate the idea of partnership in the treatment plan for the client. Employing a confrontational attitude is unlikely to elicit a positive response from the client regarding the reason for noncompliance. If the nurse issues a directive by telling the client what to do without listening nonjudgmentally to the problems encountered when taking medications, the client is not likely change his behavior. The nurse who adopts an attitude of indifference is communicating a lack of caring, which will decrease the client's sense of self-esteem.

Answer to Question 2

Answer: B

Limiting intake of alcohol and discontinuing tobacco products are important nonpharmacological methods for controlling hypertension. Implementing lifestyle modifications may eliminate the need for pharmacotherapy, so the client may not have to take medication right away. Increasing physical activity is an important lifestyle modification for controlling hypertension. The fact that the client's father had hypertension and lived to be 90 years old does not mean that the client will have the same experience; the client is in denial.