A patient with severe schizophrenia is seen at a community mental ...

[nramada]

A patient with severe schizophrenia is seen at a community mental health center. Although he continues to attend programming at the center, he tells the nurse, I threw away the pills because they keep me from hearing God..
 
  Which of the following responses would be most likely to benefit this patient? a. You need your medicines; your schizophrenia will get worse without them..
  b. Do you want to end up in the hospital again? You have to take your medicines..
  c. I noticed that with the medicine, you have been able to hold a job you wanted..
  d. I would like you to come to the medication education group each Thursday..

Question 2

Which statements describe the adult who has achieved the successful emotional development of adulthood? (Select all that apply.)
 
  a. The adult is able to function effectively in a stressful environment.
  b. The adult possesses effective intellectual and abstract problem-solving skills.
  c. The adult is able to adapt to growing older.
  d. The adult sets realistic personal and professional goals.

[Liddy]

Answer to Question 1

C
The patient appears not to understand that he has an illness. He has stopped his medication because it interferes with a symptom that he finds desirable (auditory hallucinationsthe voice of God). Connecting medication adherence to one of the patient's goals (the job) can serve to motivate the patient to take the medication and override his concern about losing the hallucinations. Exhorting a patient with anosognosia to take his medication because the medicine is needed to control his illness is unlikely to be successful, because he does not believe he has an illness. Medication psychoeducation would be appropriate if the cause of nonadherence was a knowledge deficit, but here it is anosognosia.

Answer to Question 2

A, C, D
These are characteristics of an individual who has achieved the expected emotional development of adulthood. Possessing effective intellectual and abstract problem-solving skills refers to intellectual development of adulthood.

[nramada]

Excellent

[emsimon14]

TYSM