When assessing an elderly patient with hypertension, which question is most appropriate for the nurse to ask first?

The most appropriate initial question to ask an elderly patient with hypertension focuses on understanding their adherence to treatment, which is crucial for managing hypertension effectively. Inquiring why the patient is not taking their medications directly addresses potential barriers to adherence and prompts a discussion about any challenges they might be facing. This question can reveal valuable information regarding their understanding of the medication, possible side effects they may be experiencing, financial issues, transportation difficulties, or any other personal circumstances that impact their ability to take prescribed treatments.

Establishing an understanding of non-adherence allows the nurse to tailor an intervention plan that supports the patient’s needs, such as providing education, suggesting alternative therapies, or connecting them with resources that could assist with medication affordability or transportation. By prioritizing this inquiry, the nurse can ensure that the patient is receiving comprehensive care that addresses the root causes of their condition rather than only focusing on medication lists or logistical issues.