Family Nurse Practitioner Exam

What is the best course of action when a patient refuses to take prescribed medication?

1. Reassure the patient that he will be fine

2. Document in the patient's record behaviors and actions taken

3. Document only the patient’s behavior

4. Document only the nurse’s action

The correct answer is: Document in the patient's record behaviors and actions taken

When faced with a situation in which a patient refuses to take prescribed medication, the most comprehensive and responsible course of action is to document in the patient's record both the behaviors observed and the actions taken in response. This thorough documentation serves multiple purposes: Firstly, it creates a clear, objective record of the patient's refusal, which is crucial for continuity of care. This allows other healthcare providers to be informed about the patient's stance towards the treatment and helps to avoid misunderstandings or assumptions in future interactions. Secondly, documenting the actions taken in response to the refusal—such as discussions held with the patient regarding their concerns, education provided about the medication's importance, and any alternative treatments considered—demonstrates the healthcare provider's commitment to patient-centered care and ensures that all efforts to promote adherence are accurately recorded. Additionally, clear documentation may protect the healthcare provider legally, showing that they have adhered to best practices by addressing the patient's concerns and documenting their refusal appropriately. In contrast, the other options provide incomplete aspects of what should be documented. Simply reassuring the patient does not address the refusal’s implications or the need for follow-up. Documenting only the patient’s behavior or only the nurse’s action fails to create a full picture of the interaction, leaving out essential details