A patient with serious mental illness lives alone in a neighborhood. The patient receives monthly 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 decompensation and hospitalization, the community mental health nurse should arrange for:
a. a psychosocial rehabilitation program.
b. assertive community treatment (ACT).
c. an appointment with a nurse in private practice.
d. insurance authorization to change to daily oral medication.
B
The assertive community treatment team could bring the patient's medication to her in her neighborhood. Depot medication is a strategy to reduce noncompliance and is often preferable to daily oral medication. The other distracters do not directly relate to the noncompliance problem.
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