A Patient with Schizophrenia Tells the Community Mental Health Nurse,"I

A patient with schizophrenia tells the community mental health nurse,"I threw away my pills because they interfere with God's voice." The nurse identifies the cause of the patient's ineffective management of the medication regime as:

A) inadequate discharge planning
B) poor therapeutic alliance with clinicians
C) dislike of the side effects of antipsychotic medications
D) impaired reasoning secondary to the schizophrenia