49. A 65-year-old patient from middle income family, with a diagnosis of dementia, was brought to a clinic by his daughter. She reports that despite she has been giving prescribed medication timely, his behavior is becoming worse. Currently, he lives alone and smokes three pieces of cigarette/day. What is the best predictor of risk for poor adherence in this patient? (A) Income (C) Substance use (B) No insight (D) Forgetfulness 50. A 55-year-old woman came to a clinic for psychiatric evaluation.At the start of the interview, she focuses on issues that the nurse consider irrelevant. What is the next best step that the nurse should follow? (A) Ask her if she understood what he is asking her (B) Guide the patient to come to direction of his point (C) Tell her he will give another time to talk the details (D) Listen for a while even things he doesn't want to hear

Question

49. A 65-year-old patient from middle income family, with a diagnosis of dementia, was brought to a clinic by his daughter. She reports that despite she has been giving prescribed medication timely, his behavior is becoming worse. Currently, he lives alone and smokes three pieces of cigarette/day. What is the best predictor of risk for poor adherence in this patient? (A) Income (C) Substance use (B) No insight (D) Forgetfulness 50. A 55-year-old woman came to a clinic for psychiatric evaluation.At the start of the interview, she focuses on issues that the nurse consider irrelevant. What is the next best step that the nurse should follow? (A) Ask her if she understood what he is asking her (B) Guide the patient to come to direction of his point (C) Tell her he will give another time to talk the details (D) Listen for a while even things he doesn't want to hear

Answer 1

49. The best predictor of risk for poor adherence in this patient is (C) Substance use. Smoking three pieces of cigarette/day indicates the patient's substance use, which can lead to poor adherence to medication and other health-related behaviors.50. The next best step that the nurse should follow is (D) Listen for a while even things he doesn't want to hear. By listening to the patient's concerns, the nurse can better understand the patient's perspective and address any underlying issues that may be affecting the patient's ability to focus on relevant topics during the interview.

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