A client with severe and persistent schizophrenia is seen at the adult outpatient clinic. He is
delusional and experiencing auditory hallucinations. He tells the nurse "I am here to save the world.
I threw away the pills because they interfere with hearing God's voice.". The nurse identifies the
client's reason for medication nonadherence as
a. poor therapeutic alliance with clinicians.
b. inadequate discharge planning.
c. dislike of side effects.
d. poor insight.
D
The client's noncompliance is most closely related to lack of insight into his illness. The client
believes he is an exalted personage who hears God's voice, rather than an individual with a serious
mental disorder who needs medication to control his symptoms. Data do not suggest any of the other
factors often related to medication nonadherence.
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1. 170 2. 17 3. 1.7 4. 0.17
A woman calls the clinic because she is having an unusually heavy menstrual flow. She tells the nurse that she has saturated three tampons in the past 2 hours. The nurse estimates that the amount of blood loss over the past 2 hours is _____ mL
a. 20 to 30 b. 30 to 40 c. 40 to 60 d. 60 to 90
When assessing an infant, it is important to involve the
A) Parents B) Siblings C) Physician D) Infant
Will using a medicine cup to measure a liquid medication always give you an accurate amount of medication?