Practice 35 Behavioral Nursing interview questions covering de-escalation, crisis response, and therapeutic communication.
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Dianne Barnard is a Registered Nurse and former nursing instructor. She is also board certified in Psychiatric Nursing and Holistic Nursing Critical Care.
Most often, patients have the right to refuse their medication. As difficult as it is to accept their decision, it is their right in most instances to refuse. However, it is your responsibility to assure they are knowledgeable about the medications and possible consequences if they miss a dose or stop taking it altogether. Your job as a nurse is not to convince them to take their medications, but to make certain they understand and are informed as to why the medication is necessary and what may happen if they refuse. If there is anything you can do to aid in educating the patient, be sure to do it. If language is a barrier, an interpreter should be provided. Consider if the patient is confused or if they simply don't understand the need. If they do refuse, your job will then be to document refusal and the rationale for the patient's refusal, as well as your attempt to educate and inform.

Dianne Barnard is a Registered Nurse and former nursing instructor. She is also board certified in Psychiatric Nursing and Holistic Nursing Critical Care.
"I worked with a patient who had just started on an SSRI a couple days prior, and she stated she didn't want to take it because it didn't work, and it was making her nauseated. Being that I understand that it takes at least 4 weeks for this type of medication to work, and sometimes patients experience temporary side effects before the desired effect, I was able to explain that to her in a way she could understand, and she was much more willing to comply."

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Written by Kelly Burlison
35 Questions & Answers • Behavioral Nursing

By Kelly

By Kelly