A homeless patient with serious and persistent mental illness became suspicious and delusional. The patient was given depot antipsychotic medication, and housing for the patient was obtained in a local shelter
After 2 weeks, which statement by the patient indicates significant improvement?
a. "I am feeling safe and comfortable here. Nobody bothers me."
b. "They will not let me drink. They have many rules in the shelter."
c. "Those guys are always watching me. I think someone stole my shoes."
d. "That shot made my arm sore. I'm not going to take any more of them."
ANS: A
Evaluation of a patient's progress is made based on patient satisfaction with the new health status and the health care team's estimation of improvement. For a formerly delusional patient to admit to feeling comfortable and free of being "bothered" by others denotes an improvement in the patient's condition. The other options suggest that the patient is in danger of relapse.
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