A Patient Diagnosed with Schizophrenia Had an Exacerbation Related to Medication

question 24

Multiple Choice

A patient diagnosed with schizophrenia had an exacerbation related to medication noncompliance and was hospitalized for 5 days. The patient's thoughts are now more organized, and discharge is planned. The patient's family says, "It's too soon for discharge. We will just go through all this again." Which of the following should the nurse do?

• A) Ask the case manager to arrange a transfer to a long-term care facility.
• B) Notify hospital security to handle the disturbance and escort the family off the unit.
• C) Explain that the patient will continue to improve if the medication is taken regularly.
• D) Contact the health care provider to meet with the family and explain the discharge rationale.

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Definitions:

Interest

The feeling of wanting to learn more about something or to be involved in something; also refers to a charge for borrowing money.

Self-Conscious Emotions

Emotions that require self-awareness, especially consciousness and a sense of “me”; examples include jealousy, empathy, and embarrassment.

Cognitive Reversals

The ability to switch perspectives or understanding that actions can be undone mentally, an important part of cognitive development.

Primary Emotions

Primary emotions are basic emotions that are experienced universally across cultures, such as happiness, sadness, fear, and anger.