A client admitted on an involuntary basis is being treated for an acute exacerbation of paranoid schizophrenia. He refuses his morning dose of fluphenazine (Prolixin). The most appropriate ini-tial nursing response would be:
1. "If you do not take your medication, you will be placed in seclusion."
2. "Involuntarily committed clients cannot refuse medications."
3. "Let's discuss why you do not want to take your medication."
4. "If you do not take your medication, I must give you an injection."
ANS: 3
Option 2: Clients, whether admitted voluntarily or involuntarily committed, have the right to re-fuse medication. The priority nursing action is to learn the client's reason for refusing. Options 1 and 4: Threats are never appropriate.
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