The brother of a client with schizophrenia says to the nurse: "I would like to help my brother, but he just doesn't seem to understand he has a serious psychological problem. He tells me he is fine and that he just gets a little weird occasionally."
The nurse should explain:
1. "This is why it is so difficult to treat, since lack of insight is a large part of the disease."
2. "Because of the stigma attached to mental illness, most people with schizophrenia won't tell others they have the disease."
3. "Many people with schizophrenia use denial as a coping mechanism."
4. "He needs to take his medications when having psychotic episodes."
Answer: 1
1. Lack of insight is one of the cognitive defects present and keeps clients from seeking and maintaining treatment, because they do not see themselves as being sick.
2. Because of the lack of insight, they are often not aware of the stigma attached to the illness.
3. Denial is not the problem, but rather a lack of self-understanding.
4. Since they do not see themselves as ill, they frequently stop medications, especially when stable; medications need to be take even when not having psychotic episodes.
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