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:

External Sources

Pertains to information or influences that come from outside an individual or system, as opposed to internal or innate sources.

Self-initiated

Actions or activities that are begun or carried out by an individual independently, without external prompting or instruction.

Successful Outcome

The achievement of desired goals or results from a particular process or activity.

Pride

A feeling of deep satisfaction derived from one's own achievements, the achievements of those with whom one is closely associated, or from qualities or possessions that are widely admired.