Author Question: A patient with schizophrenia tells the community mental health nurse, I threw away my pills because ... (Read 34 times)

jilianpiloj · **on:** Jul 19, 2018

A patient with schizophrenia tells the community mental health nurse, I threw away my pills because they interfere with God's voice. The nurse identifies the cause of the patient's ineffective management of the medication regime as:

a. inadequate discharge planning
b. poor therapeutic alliance with clinicians
c. dislike of the side effects of antipsychotic medications
d. impaired reasoning secondary to the schizophrenia

Question 2

A patient living independently has command hallucinations to report terrorism to the Federal Bureau of Investigation (FBI) and to shout warnings to neighbors. After a short hospitalization, the patient is prohibited from returning to the apartment.

The landlord says, You can't come back here. You cause too much trouble. What problem is the patient experiencing?

a. Grief
b. Stigma
c. Homelessness
d. Lack of insurance parity

EAN94 · **Reply #1 on:** Jul 19, 2018

Answer to Question 1

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 that any of the other factors often relate to medication nonadherence.

Answer to Question 2

ANS: B
The inability to obtain shelter because of negative attitudes about mental illness is an example of stigma. Stigma is defined as damage to reputation, shame, and ridicule society places on mental illness. Data are not present to identify grief as a patient problem. Data also do not suggest that the patient is actually homeless. Insurance parity is not relevant to this scenario.