Concept 6: Adherence

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created 1 year ago by mens05
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Concept 6: Adherence
updated 1 year ago by mens05
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nursing
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1

The nurse is discharging a hospitalized patient to the home care setting. Place the following actions in order of priority. (Separate letters by a comma and space as follows: A, B, C, D.)

  1. Arrange a physical therapy visit before the patient is discharged from the hospital.
  2. Assess the patient's ability to perform activities of daily living before discharge.
  3. Have the patient demonstrate the learned skills at the end of the teaching session.
  4. Determine if the patient has had home visits before and if the experience was positive.

D. Determine if the patient has had home visits before and if the experience was positive.

B. Assess the patient's ability to perform activities of daily living before discharge.

C. Have the patient demonstrate the learned skills at the end of the teaching session.

A. Arrange a physical therapy visit before the patient is discharged from the hospital

2

The nurse assesses that a patient has not been taking antihypertension medication as prescribed. How should the nurse proceed? Select all that apply.

  1. Evaluate the teaching plan to determine if there is a need to reeducate the patient.
  2. Assess the patient's perception and attitude towards the risks associated with missing doses of medication.
  3. Review and reinforce the need to take the medication as prescribed.
  4. Ask the provider to prescribe a different medication because the patient does not want to take this medication.
  5. Emphasize the risk of stroke or heart attack if the patient does not adhere to the treatment plan.

A. Assess the patient's perception and attitude towards the risks associated with missing doses of medication.

B. Assess the patient's perception and attitude towards the risks associated with missing doses of medication.

C. Review and reinforce the need to take the medication as prescribed.

3

The nurse is assessing learning needs for a patient who has coronary heart disease. The nurse finds that the patient has recently made dietary changes to decrease fat intake and has stopped smoking. The best initial response by the nurse at this time is

  1. “You did an excellent job of changing your eating habits and quitting smoking. This is so important for your heart health. Nice work!’’
  2. “Although the changes you made are important, it is essential that you make other changes, too.”
  3. “Which additional changes in your lifestyle would you like to implement at this time?”
  4. “Are you having any difficulty in maintaining the changes you have already made?”

A. “You did an excellent job of changing your eating habits and quitting smoking. This is so important for your heart health. Nice work!’’

4

A patient is admitted to the long-term care setting. The nurse notes that the patient does not read or write well. Which nursing actions are priority while developing a teaching plan to increase adherence? Select all that apply.

  1. Determine the patient's motivation and readiness to learn.
  2. Assess what the patient knows about their health issues.
  3. Include the family in the orientation to the unit and include them in the teaching process.
  4. Assess what grade level the patient can read and write and tailor teaching strategies accordingly.
  5. Give the patient brochures with more pictures and explanations with short sentences.

A. Determine the patient's motivation and readiness to learn.

B. Assess what the patient knows about their health issues.

C. Include the family in the orientation to the unit and include them in the teaching process.

D. Assess what grade level the patient can read and write and tailor teaching strategies accordingly.

5

A patient is being treated for tuberculosis (TB) with a standard four-drug regimen but continues to have positive sputum smears for acid-fast bacilli. Which actions should the nurse implement? Select all that apply.

  1. Assist the patient with short-term goals and plan teaching according to these goals.
  2. Provide the patient with all the educational materials about drug-resistant TB.
  3. Refer the patient to a pulmonary specialist, who can assist the patient with the treatment regimen.
  4. Ask the patient about any barriers to obtaining medications.
  5. Ask the patient whether medications have been taken as directed.

A. Assist the patient with short-term goals and plan teaching according to these goals.

B. Provide the patient with all the educational materials about drug-resistant TB.

D. Ask the patient about any barriers to obtaining medications.

E. Ask the patient whether medications have been taken as directed.