The nurse is talking with a client diagnosed with schizophrenia about the importance of careful adherence to the medication regimen. Which of the following client reasons is not commonly associated with noncompliance?
1. Lack of access to pharmacies due to financial or transportation concerns
2. Increased ability to trust healthcare providers who prescribe medications
3. Inability to understand instructions for taking medications
4. Side effects causing extreme discomfort
2
Rationale: Clients with schizophrenia usually have a decreased, not increased, ability to trust healthcare providers who prescribe medications. A client may refuse to adhere to the medication regimen because side effects are causing extreme discomfort. Clients with schizophrenia may have difficulty obtaining medication because of a lack of access to pharmacies due to financial or transportation concerns. Compliance problems may also occur if the client does not understand how to take the medication.
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