An outpatient diagnosed with schizophrenia attends programming at a community mental health centre. The patient says, "I threw away the pills because they keep me from hearing God." Which response by the nurse would most likely benefit this patient?

Question

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The patient appears not to understand that he has an illness. He has stopped his medication because it interferes with a symptom that he finds desirable (auditory hallucinations-the voice of God). Connecting medication adherence to one of the patient's goals (the job) can serve to motivate the patient to take the medication and override concerns about losing the hallucinations. Exhorting a patient to take medication because it is needed to control his illness is unlikely to be successful; he does not believe he has an illness. Medication psychoeducation would be appropriate if the cause of nonadherence was a knowledge deficit.

An Outpatient Diagnosed with Schizophrenia Attends Programming at a Community