Which of the following clients in the community with chronic mental illness is most likely to be compliant in taking his or her prescribed medications on a consistent basis?
a. The client who has an understanding of his or her disease and medication's effect in controlling symptoms
b. The client who has insurance that covers the cost of all prescribed medications
c. The client who has very little insight of his or her illness and is living with a family member
d. The client who is trying to live independently in a homeless shelter
A
The side effects of many medications are uncomfortable, and clients often stop taking them as soon as the acute symptoms subside. One of the most powerful predictors of medication refusal is one's insight into the illness, and most chronically or severely mentally ill individuals have little insight. Nurses must carefully monitor clients routinely for compliance with medications.
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