Which of the following actions is most appropriate when dealing with a patient who has been non-compliant with prescribed medications?

Correct Answer: B

Rationale: The correct answer is B because engaging the patient in a discussion about the benefits of the medications and addressing their concerns is the most appropriate action. This approach promotes patient-centered care, helps to understand the reasons for non-compliance, and allows for collaborative problem-solving. It fosters trust and communication between the patient and healthcare provider, leading to a higher likelihood of adherence to the prescribed treatment plan. Choice A is incorrect because judging the patient may lead to defensive reactions and hinder open communication. Choice C is incorrect as ignoring the issue can result in worsening health outcomes. Choice D is incorrect as providing reassurance without addressing the underlying reasons for non-compliance may not effectively resolve the issue.

Correct Answer: B

Rationale: The correct answer is B: Using simple, clear language. This is an appropriate communication technique for a patient with dementia because it helps to minimize confusion and enhance understanding. Patients with dementia may have difficulty processing complex information, so using simple language can help them grasp the message. Speaking loudly and slowly (choice A) can be perceived as patronizing and may cause distress. Using complex medical terminology (choice C) can lead to further confusion. Telling the patient they will recover soon (choice D) is inappropriate as it provides false hope and can cause disappointment.

Correct Answer: D

Rationale: The correct answer is D: Assessing for signs of extrapyramidal symptoms. This is the priority intervention because antipsychotic medications can cause extrapyramidal symptoms, which can be serious and require immediate attention. Monitoring for these symptoms allows for early detection and intervention to prevent further complications. A: Monitoring for signs of weight loss and dehydration is important but not the priority compared to assessing for extrapyramidal symptoms. B: Encouraging the patient to maintain adequate hydration and nutrition is important for overall health but not the priority in this case. C: Providing education on the importance of taking the medication daily is essential but assessing for potential side effects takes precedence.

Correct Answer: D

Rationale: The correct answer is D because encouraging the patient to participate in small, achievable activities aligns with behavioral activation therapy, which is an evidence-based approach for treating depression. By engaging in activities, the patient can experience a sense of accomplishment, boost self-esteem, and improve motivation. A: While exercise can be beneficial for depression, it may be overwhelming for a patient feeling tired and unmotivated. B: Trying a new hobby may not address the underlying lack of motivation and may not be achievable for someone with depression. C: Reassurance alone may not be sufficient for addressing the symptoms of depression and medication may not be the only solution.

Correct Answer: B

Rationale: The correct answer is B because severe agitation, tremors, and seizures are common symptoms of alcohol withdrawal, known as delirium tremens, which can be life-threatening. These symptoms indicate hyperactivity of the central nervous system due to alcohol withdrawal. Monitoring for these symptoms is crucial for early intervention and preventing potential complications. A: Fatigue and lethargy are not typically associated with alcohol withdrawal. C: Headaches and nausea are common symptoms of alcohol withdrawal but are not indicative of severe withdrawal requiring immediate intervention. D: Increased appetite and weight gain are not symptoms of alcohol withdrawal; in fact, weight loss is more common due to decreased appetite and malnutrition during withdrawal.