A patient with schizophrenia refuses to take his medication because he believes he is not ill. What phenomenon most likely underlies this presentation?
a. The patient is unable to face having an illness and is in denial.
b. Stigma causes the patient to refuse to admit his mental illness.
c. The illness itself is preventing the patient from realizing he is ill.
d. Command hallucinations are instructing him to deny the illness.
C
When a person with schizophrenia denies having the disorder, the most common reason for this is that the neurological changes that cause the illness also interfere with the person's ability to recognize that he is ill, a condition called anosognosia. Although a person with mental illness may experience denial, stigma, or command hallucinations, these are not the most common reasons for a lack of insight.
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The nurse is providing teaching by telephone to a patient who is scheduled for a pelvic examination and Pap test next week. The nurse instructs the patient that she should
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Which theories contain limited numbers of concepts and are limited in scope with some degree of generalization, but the concepts are clear and hypotheses can be derived?
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a. "Dizziness, drowsiness, and decreased urinary output are common with this drug, but they will subside over time." b. "Constipation will be a problem, so I will increase the fiber in my diet." c. "I will need to have my eyes checked periodically while I am taking this drug." d. "This medication may cause my bodily secretions to turn bluish green."