Mr. A says that he does not need his medicine for hypertension. ...

[Jkov05]

Mr. A says that he does not need his medicine for hypertension. He also claims that it makes him feel weak and he suspects that it sometimes makes him impotent. When his wife tries to remind him to take the drug, he becomes enraged.
 
  How can a nurse best help in this situation? A) Suggest that Mr. A vent his frustrations
  B) Insist that Mr. A force himself to take the medicine
  C) Advise Mr. A's wife to supervise him
  D) Exhort Mr. A repeatedly that a chronic condition like hypertension requires self-care

Question 2

The nurse educator is discussing aspiration with new nursing graduates. Which patient would the educator tell the nurses is at the greatest risk for aspiration?
 
  A) A stroke patient with dysarthria
  B) An ambulatory patient with Alzheimer's disease
  C) A 92-year-old patient who needs help with activities of daily living (ADLs)
  D) A patient with severe, deforming rheumatoid arthritis

[rnehls]

Answer to Question 1

A
Feedback:
Mr. A is in denial about his need for the medicine and is angry about the effects. He needs extra support, not criticism. Venting his frustrations, perhaps by yelling or punching a pillow, may give him some relief.

Answer to Question 2

A