What are the 3 R's for a patient who does not want to comply?

• A. Reason, Recommendations, Revisit
• B. Respect, Refusal, Reassurance
• C. Record, Regret, Reassess
• D. Reason, Reassess, Refuse

Answer: (A)

When a patient does not want to comply, the best approach is a three-step process that keeps the conversation collaborative and focused on safety. Start by eliciting the patient’s reasons and concerns behind the refusal (Reason). Next, present clear, patient-specific recommendations or alternatives and explain the rationale behind them (Recommendations). Finally, arrange a follow-up to reassess the situation, address any new concerns, and revisit the plan as needed (Revisit). This sequence supports ongoing engagement, respects patient autonomy, and provides a path forward rather than ending the discussion.

Why this fits better than the other options: simply acknowledging a refusal and offering reassurance lacks a structured plan to move forward. Using terms like regret is inappropriate and not productive for patient trust. Recording and then reassessing with a refusal focus shifts emphasis away from addressing concerns and planning next steps.