What action should the nurse take when a young patient's partner prevents the patient from taking medications?

• A. Conduct an interview with the client alone, when the partner is not around.
• B. Ask the partner to leave the room but discuss with both.
• C. Delay medications until the partner agrees.
• D. Ignore the partner's influence and proceed.

Answer: (A)

The main idea is protecting the patient’s autonomy and safety when there may be coercion. The nurse should interview the patient privately, with the partner not present, to assess the patient’s understanding of the medications, their wishes, and their capacity to consent. A private conversation helps determine whether the patient is making a voluntary decision or being pressured, and it creates an opportunity to plan care safely and respectfully. If the patient consents and shows understanding, medications can be given with the patient’s agreement. If there are concerns about coercion or abuse, the nurse should involve appropriate support and document the findings. Involving the partner in the discussion, delaying medication until the partner agrees, or proceeding without the patient’s consent could undermine autonomy and patient safety.