A patient with schizophrenia had an exacerbation related to medication noncompliance. During 4 days of hospitalization, medication was resumed. The patient's thought processes are now more organized, and discharge is planned
The patient's family is upset and tells the nurse, "It's too soon for discharge. We will just go through all this again." The nurse should: a. call the psychiatrist to explain the discharge rationale.
b. explain that health insurance will not pay for a longer stay.
c. call security to handle the disturbance, and escort the family off the unit.
d. explain that the patient will continue to improve if medication is taken regularly.
D
Patients no longer stay in the hospital until every vestige of a symptom disappears. The nurse must assume responsibility to advocate for the patient's right to the least restrictive setting as soon as the symptoms are under control and for the right of citizens to control health care costs. The health care provider will use the same rationale. Shifting blame will not change the discharge. Security is unnecessary. The nurse can handle this matter.
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