The nurse instructs the clients to take the medications that are ...

[cool]

The nurse instructs the clients to take the medications that are prescribed because the psychiatrist knows what is best for the client. How would the nurse's supervisor evaluate the effectiveness of the nurse's teaching?
 
  1. The nurse is demonstrating a paternalistic attitude that may contribute to client nonadherence.
  2. Teaching the client to take all medications should help keep the client out of the hospital.
  3. The nurse is helping the client develop trust in the psychiatrist.
  4. The nurse is giving simple instructions that will be readily accepted by the client.

Question 2

In planning care for a person with dementia, what is the most important consideration?
 
  1. Focus on strengths and abilities
  2. Discuss end-of-life issues
  3. Identify problems
  4. Ensure that medications are taken

[vish98]

Answer to Question 1

1
Rationale: In order to promote adherence, the nurse should partner with the client and the client's family. Telling the client that someone else knows what is best for the client is paternalistic and interferes with partnering with clients. Although the nurse's statement is simple, it is not one that is readily accepted by clients. One develops trust through actions, not by telling someone to trust.

Answer to Question 2

1
Rationale: A focus on the client's strengths and abilities will maintain the client's self-esteem and sustain the client at the optimal level of self-care. Identification of problems is done during the assessment. Medications for dementia are not curative, but rather delay the progression of the disease. Discussion of end-of-life issues will need to occur but is not the priority.