Registered Psychiatric Nurses of Canada Examination (RPNCE) Practice test

When Ms. Olafson, with an intellectual disability, refuses her morning medications, what should the RPN prioritize?

1. Respect the client's choice

2. Validate the client's refusal

3. Explore the client's reasons for refusing

4. Include the medication in the client's food

The correct answer is: Explore the client's reasons for refusing

Prioritizing the exploration of the client's reasons for refusing medication is crucial in ensuring that the approach taken respects the client's autonomy while also addressing any underlying concerns or misunderstandings. By understanding the client's perspective, the RPN can gain insights into potential fears, misconceptions, or preferences relating to the medication. This dialogue not only helps in forming a therapeutic relationship but also allows the RPN to provide tailored education or support that might alleviate the client's concerns and encourage compliance in the future. Furthermore, exploring the reasons for refusal empowers the client, making them feel heard and valued in their care process. Respecting and validating the client's feelings are important steps, but they should follow an initial exploration of the reasons behind the refusal to better inform subsequent steps taken. This could lead to a more informed discussion about the implications of medication adherence and the potential benefits involved, ultimately facilitating a more collaborative decision-making process.