A client with serious mental illness lives alone in a neighborhood in which she is well accepted as

someone who can baby-sit for an hour or two or who will help with housekeeping chores if someone
is ill.

The client receives depot medication injections but lately has missed regular clinic
appointments, saying "My life is so busy I couldn't find time to come in.". To prevent hospitalization
associated with noncompliance with medication regimen, the community mental health nurse should
arrange for
a. psychosocial club membership.
b. assertive community treatment.
c. an appointment with a nurse in private practice.
d. health maintenance organization authorization for changing to daily oral
medication.


ANS: B
The assertive community treatment team could bring the client's medication to her in her
neighborhood. Option D: Depot medication is a strategy to reduce noncompliance and is often
preferable to daily oral medication. Options A and C do not directly relate to the noncompliance
problem.

Nursing

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