Nokea
A trusting physician-patient relationship is a key factor in improving patient adherence to prescribed medications. Which of the following might discourage a patient from taking his/her medications?
- A. Using a trained medical interpreter to explain a prescription schedule
- B. Discussing folk or culture beliefs in the context of treating illness
- C. Prescribing complex treatments
- D. Reinforcing the urgency of the patient's illness
Correct Answer: C
Rationale: Complex treatments can overwhelm patients, reducing adherence due to confusion or burden.
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Which of the following choices represents a barrier to health care for low-income patients in the U.S.?
- A. Limited health care and educational programs close to home
- B. Language proficiency
- C. Busy schedule
- D. Availability of brand-name medication
Correct Answer: A
Rationale: Limited local resources restrict access for low-income patients.
Psychotropic medications that block the reuptake of serotonin may result in which of the following side effects?
- A. Dry mouth
- B. Constipation
- C. Blurred vision
- D. Sexual dysfunction
Correct Answer: D
Rationale: Selective serotonin reuptake inhibitors (SSRIs), which block serotonin reuptake, are commonly associated with sexual dysfunction as a side effect, aligning with option d.
Which of the following physician barriers can affect a patient's adherence?
- A. Lack of insight into the patient's illness
- B. Inadequate explanation of instructions
- C. Cost of medications or treatment
- D. Distraction by other life issues or priorities
Correct Answer: B
Rationale: Clear instructions are critical for adherence; inadequate explanations often lead to misunderstanding and non-compliance.
The nurse is engaging in patient- and family-centered care most effectively when:
- A. Including a client's homosexual partner in the discussion regarding discharge planning.
- B. Allowing a client admitted for acute psychiatric care to be visited by family members.
- C. Helping a cognitively impaired client call his parents who live out of state.
- D. Volunteering at a clinic that provides free services to clients of all ages.
Correct Answer: A
Rationale: The correct answer is A because including a client's homosexual partner in discharge planning demonstrates respect for the client's relationships and values, promoting inclusivity and support. This aligns with patient- and family-centered care principles. Choice B is incorrect as it focuses on visitation rights rather than involving the family in care decisions. Choice C involves the nurse facilitating communication but does not necessarily demonstrate partnership with the client's support system. Choice D, while commendable, does not directly relate to individualized care for a specific patient and their family.
You are caring for a client who has been assessed as having a past history of violent and dangerous behaviors towards others. You, as the nurse, are concerned about this client's past history and the dangers that may adversely affect others including staff, visitors and other clients on the unit. What is the first thing that you should do to prevent violence towards others?
- A. Restrain the client
- B. Place the client in seclusion
- C. Get an order for a sedating medication
- D. Establish trust with the client.
Correct Answer: D
Rationale: Establishing trust (D) is the first step to de-escalate potential violence.