A homeless patient diagnosed with a serious mental illness became ...

[neverstopbelieb]

A homeless patient diagnosed with a serious mental illness became suspicious and delusional. Depot antipsychotic medication began, and housing was obtained in a local shelter.
 
  One month later, which statement by the patient indicates significant improvement?
 
  a. They will not let me drink. They have many rules in the shelter.
  b. I feel comfortable here. Nobody bothers me.
  c. Those shots make my arm very sore.
  d. Those people watch me a lot.

Question 2

A patient diagnosed with schizophrenia tells the community mental health nurse, I threw away my pills because they interfere with God's voice. The nurse identifies the etiology of the patient's ineffective management of the medication regime as:
 
  a. inadequate discharge planning.
  b. poor therapeutic alliance with clinicians.
  c. dislike of antipsychotic medication side effects.
  d. impaired reasoning secondary to the schizophrenia.

[qytan]

Answer to Question 1

ANS: B
Evaluation of a patient's progress is made based on patient satisfaction with the new health status and the health care team's estimation of improvement. For a formerly delusional patient to admit to feeling comfortable and free of being bothered by others denotes improvement in the patient's condition. The other options suggest that the patient is in danger of relapse.

Answer to Question 2

ANS: D
The patient's ineffective management of the medication regime is most closely related to impaired reasoning. The patient believes in being an exalted personage who hears God's voice, rather than an individual with a serious mental disorder who needs medication to control symptoms. Data do not suggest any of the other factors often related to medication nonadherence.

[neverstopbelieb]

Excellent

[raili21]

TYSM