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Full Version: nbme 1-16 - darkhorse
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58-year-old white store manager comes to the office for a periodic health evaluation. You have been treating both the patient and his wife for the past 15 years. Today the patient is tearful and agitated. He says that he is having difficulty with his son, who is age 32 years and has schizophrenia. The son has been living intermittently in a group home or on the streets. The patient says that his son is noncompliant with his antipsychotic medications. Recently, the son has been calling the patient's house asking for money, which the patient suspects his son uses to buy alcohol and illicit drugs. It is most appropriate to advise the patient to do which of the following?

A

) Arrange an involuntary commitment to a psychiatric hospital for his son

B

) Ask his son's psychiatrist to adjust his medication

C

) Change his phone number

D

) Contact the local chapter of the National Alliance for the Mentally Ill for support and advice

E

) Obtain a restraining order against his son
D....???
should be DD
BB i'd say
monthly injection of haloperidol (depo form) is designed for noncompliant schiz. patients
donno if there is depo injections for the newer antipsychotics also
I agre with D. The problem with B is that son is grown up and he is not considered incompetent, unless you declare him imcompetent the father can't force him or ask for changes on medications for his grown up son. It's different when you have a teenager. In this case it's hard but his dad is no longer legally responsible. Maybe if he looks for support he will be able to find a way to either declare incompetency and then be able to make decisions for his son....I think though....
Agree with DD.
Getting help and support is the best option.

A Since son is not a danger to himself or others he cannot be detained restrained
B-he is non-compliant with meds so what will changing the dose do?
C- bad advise
E- he hasn't broken the law

u can't force him to take medic. but u can always notify the psych. of his noncompliance and he can change Rx to Depot haloperidol to solve the problem