Author Question: A student nurse prepares to administer oral medications to a patient with major depression, but the ... (Read 106 times)

MGLQZ · **on:** Jul 19, 2018

A student nurse prepares to administer oral medications to a patient with major depression, but the patient refuses the medication. The student nurse should:

a. tell the patient, I'll get an unsatisfactory grade if I don't give you the medication.
b. tell the patient, Refusing your medication is not permitted. You are required to take it.
c. explore the patient's concerns about the medication, and report to the staff nurse.
d. document the patient's refusal of the medication without further comment.

Question 2

A multidisciplinary health care team meets 12 hours after an adolescent is hospitalized after a suicide attempt. Members of the team report their assessments. What outcome can be expected from this meeting?

a. A treatment plan will be determined.
b. The health care provider will order neuroimaging studies.
c. The team will request a court-appointed advocate for the patient.
d. Assessment of the patient's need for placement outside the home will be undertaken.

Mholman93 · **Reply #1 on:** Jul 19, 2018

Answer to Question 1

ANS: C
The patient has the right to refuse medication in most cases. The patient's reason for refusing should be ascertained, and the refusal should be reported to a unit nurse. Sometimes refusals are based on unpleasant side effects that can be ameliorated. Threats and manipulation are inappropriate. Medication refusal should be reported to permit appropriate intervention.

Answer to Question 2

ANS: A
Treatment plans are formulated early in the course of treatment to streamline the treatment process and reduce costs. It is too early to determine the need for alternative postdischarge living arrangements. Neuroimaging is not indicated for this scenario.