An involuntary client being treated for an acute exacerbation of paranoid schizophrenia refuses the morning dose of medication. The nurse is frustrated and wonders if the client will ever develop insight
What aspects of psychobiology could help reframe the client's behavior for the nurse? 1. The client is not responsible for the behavior.
2. Adhering to the client's medication regimen is a priority to the nursing care.
3. The frontal and parietal lobe involvement in schizophrenia can cause an unawareness of the illness or the need to take medications.
4. The client's brain chemistry is altered and medications will help.
3
Rationale: Acknowledging the psychobiology aspects of the client's illness will explain why it is not possible for the client to maintain insight during the exacerbation of the illness. Knowing that the client's illness will respond to medications does not address the nurse's frustration. It is important to know why the client is not responsible for his behavior.
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