The community psychiatric nurse notes that a client with schizophrenia has remained stable in the
community for 6 weeks after discharge from the hospital.
Two weeks after making this notation in
the medical record, the nurse is called by the client's husband to say that the client is delusional and
explosive. During the home visit the nurse learns that the client is willing to take medication, but
when her 90-day supply ran out she had none to take. The nurse arranges for a prescription refill. To
avoid recurrence of this situation
a. the nurse will obtain the prescription refill every 90 days and deliver it to the
client.
b. the client's husband will mark dates to obtain prescription refills on the calendar.
c. the client will report to the hospital for medication follow-up every week.
d. the client will call the nurse weekly to discuss medication-related issues.
ANS: B
The nurse will attempt to use the client's support system to meet client needs whenever possible.
Option A should be unnecessary for the nurse to do if client or a significant other can be responsible.
Option C: The client may not need more intensive follow-up as long as she continues to take
medication as prescribed. Option D: This is probably unnecessary because no client issues except
failure to obtain medication refill were identified.
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