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NCLEX & CGFNS Practice Questions
Ineffective Management of Therapeutic Regimen: Individual
  • Actual
  • Risk for (Potential)

Related To: [Check those that apply]

  • Complexity of health care
  • Complexity of therapeutic regimen
  • Decisional conflicts
  • Economic difficulties
  • Excessive demands made on individual or family
  • Family conflict
  • Family patterns of health care
  • Inadequate number and types of cues to action
  • Knowledge deficit of prescribed regimen
  • Perceived seriousness
  • Perceived susceptibility
  • Perceived barriers
  • Social support deficits
  • Perceived powerlessness

As evidenced by: [Check those that apply]

  • Choices of daily living ineffective for meeting the goals of treatment or prescription program
  • Increased illness
  • Verbalized desire to manage illness
  • Verbalized difficulty with prescribed regimen
  • Verbalization by patient that he or she did not follow prescribed regimen

Patient’s Diagnosis: –
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Objective/Expected Outcome;The patient will:

  • describes intention to follow prescribed regimen.
  • describes or demonstrates required competencies.
  • identifies appropriate resources.
  • Others

Note: you need to indicate time frame/target as objective must be measurable.

Nursing Interventions Scientific Rationale
Assess for related factors that may negatively affect success with following regimen. Knowledge of causative factors provides direction for subsequent intervention. This may range from financial constraints to physical limitations.
Assess patient's individual perceptions of their health problems. According to the Health Belief Model, patient's perceived susceptibility to and perceived seriousness and threat of disease affect his or her compliance with the program.
Assess patient's confidence in his or her ability to perform desired behavior. According to the self-efficacy theory, positive conviction that one can successfully execute a behavior is correlated with performance and successful outcome.
Assess patient's ability to learn or remember the desired health-related activity. Cognitive impairments need to be identified so an appropriate alternative plan can be devised.
Include patient in planning the treatment regimen. Patients who become co-managers of their care have a greater stake in achieving a positive outcome.
Inform patient of the benefits of adherence to prescribed regimen. Increased knowledge fosters compliance.
Simplify the regimen. Suggest long-acting forms of medications and eliminate unnecessary medication. The more often patients have to take medications during the day, the greater the risk of not following through.
Eliminate unnecessary clinic visits. The physical demands of traveling to an appointment, the financial costs incurred, the negative feelings of being talked down to" by health care providers can cause patients to avoid follow-ups when they are required."
Develop with patient a system of rewards that follow successful follow-through. Rewards may consist of verbal praise, monetary rewards, special privileges (earlier office appointment, free parking), or telephone calls.
Use a variety of teaching methods. Different people learn in different ways.
Introduce complicated therapy one step at a time. Allows learner to concentrate more completely on one topic at a time.

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