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DDahl DDahl
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6 years ago
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.
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6 years ago
D
The patient's nonadherence is most closely related to lack of insight into his illness. The patient believes he is an exalted personage who hears God's voice, rather than an individual with a serious mental disorder who needs medication to control his symptoms. Data do not suggest any of the other factors often related to medication nonadherence.
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