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    Ati Rn Adult Medical Surgical 2023 Proctored Exam

    A nurse is providing discharge teaching to a client who reports that they cannot afford their prescribed medication. Which of the following statements should the nurse make?

    Explanation & Rationale

    Medication affordability is a key factor in treatment adherence and long-term health outcomes. When clients cannot afford prescribed medications, nurses play a critical role in initiating appropriate referrals and connecting them with available healthcare resources. Interprofessional collaboration helps ensure access to financial assistance programs, insurance support, and community resources. Addressing socioeconomic barriers is essential for safe and effective discharge planning. A. Contacting the pharmacy to inquire about a different medication is not the most appropriate initial nursing action. While pharmacists can provide information about medication alternatives, changes in prescriptions must be authorized by the healthcare provider. This response does not directly address the client’s financial barriers through structured support services. B. Arranging for a social worker to talk with the client is the most appropriate action because social workers are trained to assist with financial concerns, insurance coverage, and access to medication assistance programs. They can help identify resources such as drug discount programs or community support systems to improve medication adherence after discharge. C. Contacting an occupational therapist for a home visit is not relevant to medication affordability concerns. Occupational therapists focus on functional independence and activities of daily living, not financial or medication access issues. Therefore, this does not address the client’s stated problem. D. Advising the client to ask the provider for a cheaper medication is not the most appropriate initial response because it places responsibility on the client without providing immediate support. While medication adjustments may be necessary, coordination through appropriate interdisciplinary channels, such as a social worker, ensures a more comprehensive and supportive approach.

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