An Outpatient Diagnosed with Schizophrenia Tells the Nurse,"I Am Here

An outpatient diagnosed with schizophrenia tells the nurse,"I am here to save the world.I threw away the pills because they make God go away." The nurse identifies the patient's reason for medication nonadherence as:

A) poor alliance with clinicians.
B) inadequate discharge planning.
C) dislike of medication side effects.
D) lack of insight associated with the illness.