A male client with schizophrenia lives in an assisted-living complex for individuals with mental health disorders
He is tired of the Parkinson-like symptoms he experiences with his antipsychotic medication and therefore stops taking his medication after much discussion with his treatment team. He is progressively withdrawing from reality but is not a safety risk at this point to himself or others. What is the best response of the nurse and treatment team? a. Try to coerce him into taking his medication.
b. Ensure that the client and those around him are safe, and monitor for additional symptoms of his schizophrenia while maintaining trust with the client.
c. Crush his antipsychotic medications and put them in his food to stop the process of his withdrawal from reality.
d. Speak to his family about seeking an involuntary emergency hold in a mental health facility to get him back on his medications.
B
The Patient Self-Determination Act states that individuals who are not in an emergency or safety-threatening situation cannot be coerced, forced, or talked into following a suggested course, such as taking medication against their will. All three remaining options go against the Act. In addition, an involuntary emergency hold in a mental facility is not reasonable because the client is not a threat to himself or others.
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