Pre-Test 1 and 2: Introduction to Special Questions Based on Official NCLEX-RN[®]
73. A client has not been following the drug regimen for control of gastroesophageal reflux disease (GERD). The best approach by a nurse to improve compliance would be to:
. Give the client a choice rather than a directive on when to take the medication.
. Ensure that the client understands the expected outcome from the drug regimen.
. Encourage the client to follow the goals set by the physician for optimal management of GERD.
. Ask the physician or pharmacist to meet with the client prior to discharge.
Test-Taking Tip
Compliance with treatment requires the client's understanding and agreement.
Content Area: Adult Health, Gastrointestinal; Integrated Process: Nursing Process, Implementation; Cognitive Level: Application; Client Need/Subneed: Health Promotion and Maintenance/Principles of Teaching and Learning
Pre-Test 1 and 2: Introduction to Special Questions Based on Official NCLEX-RN[®]
.
Answer 1 is incorrect because drug therapy needs the directive to take the medication with meals to decrease the release of gastric acid or to accelerate gastric emptying. Answer 2 is correct because giving the client information also gives the client control over the condition. Answer 3 is incorrect because the client's goals and physician's goals need to be the same for the plan of care to be successful. Answer 4 is incorrect because a referral to the interdisciplinary team may be needed if further teaching is needed, or to add reinforcement.