The nurse is admitting a patient with uncontrolled diabetes mellitus. It is the fourth time the patient is being admitt

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The nurse is admitting a patient with uncontrolled diabetes mellitus. It is the fourth time the patient
is being admitted in the last 6 months for high blood sugars. During the admission process, the nurse
asks the patient about employment status and displays a nonjudgmental attitude. What is the
rationale for the nurse’s actions?


a. External variables have little effect on compliance.
b. A person’s compliance is affected by economic status.
c. Employment status is an internal variable that impacts compliance.
d. Noncompliant patients thrive on the disapproval of authority figures.
ANS: B
A person’s compliance with treatment is affected by economic status. A person tends to give a higher
priority to food and shelter than to costly drugs or treatments. External variables can have a major
impact on compliance. Employment status is an external variable, not an internal variable. A person
generally seeks approval and support from social networks, and this desire for approval affects
health beliefs and practices; noncompliance does not occur from thriving on disapproval of authority
figures.