A Patient with Severe Schizophrenia Is Seen at a Community

A patient with severe schizophrenia is seen at a community mental health center.He 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 drug side effects.
D) poor insight into his illness.