A patient who has schizoaffective disorder is being treated with lithium carbonate. He repeatedly resists his medication based on his fine hand tremors as proof of drug poison-ing
Which nursing intervention addresses both the patient's need to comply with treatment and patient rights?
a. Informing staff that the patient is exhibiting manipulative behavior
b. Providing the patient with effective education regarding medication side effects
c. Assuring the patient the tremors are a result of the disorder, not of the medication
d. Providing an assessment to determine if the patient is exhibiting paranoia as well
ANS: B
Although the patient has a legal right to refuse medication, medication compliance is vital to successful treatment. Patient and family medication education by nurses and a reassuring therapeutic relationship will greatly assist with medication adherence while preserving the patient's rights. Identifying manipulative behavior or paranoia does not address compliance or patient rights. The assurance about the tremors is not true.
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