A:

1. A 45-year-old man with type 2 diabetes and

hypertension is admitted to the hospital for a foot ulcer. He

tells you that he does not follow his prescribed diet or

medication regimen because he does not believe they will

help him. He also says that he is afraid of losing his foot or

leg. How do you respond to his concerns?

A) You educate him about the benefits of diet and

medication for his condition and the risks of complications

if he does not adhere to them.

B) You empathize with his fears and ask him what he

values most in his life and how his condition affects his

goals.

C) You tell him that he has to follow the doctor's orders or

he will face serious consequences such as amputation or

death.

D) You ignore his concerns and focus on dressing his

wound and monitoring his vital signs.

Answer: B

Rationale: B is the best answer because it demonstrates

respect for the patient's autonomy and preferences, as well

as compassion and empathy for his emotions. It also opens

up a dialogue for exploring his motivation and readiness

for change. A is not the best answer because it may come

across as lecturing or patronizing, and it does not address

the patient's feelings or beliefs. C is not the best answer

because it may increase the patient's anxiety and resistance,

and it does not acknowledge his perspective or values