The client is receiving a very expensive medication. The client ...

[mspears3]

The client is receiving a very expensive medication. The client asks the nurse why the medicine is so expensive. What is the best response by the nurse?
 
  1. It is expensive, but your insurance covers it and you have a low co-pay.
  2. Drug companies are allowed to advertise medications and this adds to the cost.
  3. Drug companies must recoup the cost of developing and producing the drug.
  4. I think the drug companies should be more accountable for lowering costs.

Question 2

The mother of an adolescent receiving methylphenidate (Concerta) for attention-deficit hyperactivity disorder tells the nurse that her son is better and asks why she can't just get refills on the prescription. What is the best response by the nurse?
 
  1. Just drop by and I will get a prescription for you without seeing your son.
  2. We can't do that; maybe you can find another doctor's office that will do it.
  3. The law does not allow us to give you refills on this medication.
  4. The medication can be addictive so your son needs a monthly medical evaluation.

[s.meritte]

Answer to Question 1

Correct Answer: 2
Rationale: Advertising by drug companies costs several billion dollars a year and this adds to the cost of the drug. Telling the client that drug companies must be allowed to recoup the cost implies that the nurse is defending the drug companies. Telling the client that his insurance covers the drug doesn't answer his question. It is non-therapeutic for the nurse to introduce her own beliefs, such as accountability of drug companies, into a conversation with the client.

Answer to Question 2

Correct Answer: 4
Rationale: Telling the mother the reason for monthly evaluations is a therapeutic response that is correct and answers the mother's question. Schedule II medications cannot be refilled without the client being seen by the physician. Telling the mother about the law is accurate, but it is a non-therapeutic response; the mother needs an explanation. Referring the mother to another office is non-therapeutic and implies that other medical offices violate the law.

[mspears3]

Gracias!

[T4T]

TYSM