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."
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.
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