The correctional mental health nurse learns that prior to arrest, an inmate with bipolar II disorder had run out of money and had not refilled her lithium prescription, leading to relapse
While psychotic she had assaulted several people in a convenience store and was arrested, tried, convicted, and sentenced. Which outcome would be most important to achieve prior to release? The patient: a. agrees in writing to take lithium in the community.
b. lists community resources for medication assistance.
c. is reestablished on an appropriate dosage of lithium.
d. agrees to make a follow-up appointment in the clinic.
B
To increase medication adherence, reduce the risk of relapse, and prevent further criminal activity due to mental illness, the patient's awareness of community resources that can be accessed for medication refills and medication-related services is the most important outcome. Agreeing to take lithium, being reestablished on meds in the jail, and agreeing to follow-up mental health care are all important, but none of these will address the primary reason for her criminal behavior: the relapse caused by inability to access medication in the community.
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