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richard12 richard12
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6 years ago
A patient diagnosed with schizophrenia had an exacerbation related to medication noncompliance and was hospitalized for 5 days. The patient's thoughts are now more organized, and discharge is planned. The patient's family says,
 
  It's too soon for discharge. We will just go through all this again. The nurse should:
 
  a. ask the case manager to arrange a transfer to a long-term care facility.
  b. notify hospital security to handle the disturbance and escort the family off the unit.
  c. explain that the patient will continue to improve if the medication is taken regularly.
  d. contact the health care provider to meet with the family and explain the discharge rationale.
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6 years ago
ANS: C
Patients do not stay in a hospital until every symptom disappears. The nurse must assume responsibility to advocate for the patient's right to the least restrictive setting as soon as the symptoms are under control and for the right of citizens to control health care costs. The health care provider will use the same rationale. Shifting blame will not change the discharge. Security is unnecessary. The nurse can handle this matter.
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