A patient with schizophrenia refuses to take his medication ...

[james]

A patient with schizophrenia refuses to take his medication because he believes he is not ill. What phenomenon most likely underlies this presentation?
 
  a. The patient is unable to face having an illness and is in denial.
  b. Stigma causes the patient to refuse to admit his mental illness.
  c. The illness itself is preventing the patient from realizing he is ill.
  d. Command hallucinations are instructing him to deny the illness.

Question 2

An individual notices that he is experiencing periods of feeling very depressed followed by periods of elation and increased energy. He knows that something is wrong and talks with his family about what he should do.
 
  This is an example of the stage of illness called: a. Dependency
  b. Symptoms
  c. Recovery and rehabilitation
  d. Sick role

[vkodali]

Answer to Question 1

C
When a person with schizophrenia denies having the disorder, the most common reason for this is that the neurological changes that cause the illness also interfere with the person's ability to recognize that he is ill, a condition called anosognosia. Although a person with mental illness may experience denial, stigma, or command hallucinations, these are not the most common reasons for a lack of insight.

Answer to Question 2

B
During stage 1 of illness, the individual notices an undesirable change, is aware that something is not right, and seeks the advice of others. Dependency is stage 4 of illness and is characterized by relying on and accepting the attention of others. Recovery and rehabilitation is stage 5 of illness; and assuming the sick role is the stage of illness in which an individual accepts the illness and focuses on treatment and/or recovery.

[james]

Thanks for the timely response, appreciate it

[amcvicar]

Excellent