The patient states, "I don't want to take this new medication. I looked it up on the Internet ...

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Explanation:  1. This strategy demeans the patient and the patient's attempts at self-care.
2. This patient has taken the initiative to read about the medication, but may not understand the information or the implications of the information. The nurse should take this as an opportunity to educate the patient about the medication and about the way medications are written about in the literature. Accessing the site would also allow the nurse to determine if the site was reputable and, if not, help the patient to find reputable sites.
3. This would be appropriate if no Internet access was available, but it would be best to view the information that the patient has daily access to and is using.
4. The nurse can help the patient with this decision and can educate the patient in this scenario.