Q1. The patient with an Axis I diagnosis of schizophrenia, undifferentiated type, is acutely psychotic and exhibits religious delusions and hallucinations, loose associations, and concrete thinking. When the nurse offers the patient her medication, the patient states, "I don't need that. God will heal me." The nurse should respond to the patient by saying:
- "God wants you to take your medicine."
- "God is important in your life, but the medicine will help you too."
- "God helps those who help themselves."
- "This medicine will help clear your thoughts and decrease anxiety."
Show answer and explanation
Answer: B. "God is important in your life, but the medicine will help you too."
Stating that God is important in the patient's life recognizes the patient's cognitive and perceptual disturbances and level of anxiety and acknowledges the patient's message in a respectful and neutral manner, while adding that the medicine also will help, clearly and directly states the need for medication. Stating, "God helps those who help themselves" challenges the patient. Stating, "God wants you to take your medicine" is deceitful. Stating, "Medicine will help clear your thinking and decrease anxiety" would be helpful to the patient later when she is less acutely psychotic and anxious.