A 19-year-old client is diagnosed as HIV positive. Which behaviors might be indicators of noncompliance with her drug regimen and require further assessment? (Select all that apply.)
A) Depression
B) Indifference to self-advocacy in sexual relationships
C) Goal-oriented attitude toward treatment plan
D) Client's expression of concern for the health and well-being of her children
E) Client's expression of concern regarding the ability to pay for her medications
Ans: A, B, E
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In women, there is a relationship between poor self-image, depression, and lack of self-advocacy in sexual relationships (DeMarco, Johnsen, Fukuda, & Deffenbaugh, 2001). From a treatment perspective, depressive symptoms are underdiagnosed and are associated with lower medication adherence, risky behaviors, and poor health outcomes (Sanzero et al., 2005). Goal orientation toward the treatment plan and expressions of concern for her children would tend to indicate compliance, not noncompliance, with her drug regimen.
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