Question

A client diagnosed with schizophrenia receives fluphenazine decanoate (Prolixin Decanoate) from a home health nurse. The client refuses medication at one regularly scheduled home visit. Which nursing intervention is ethically appropriate?

A. Allow the client to decline the medication and document.
B. Tell the client that if the medication is refused, hospitalization will occur.
C. Arrange with a relative to add medication to the client's morning orange juice.
D. Call for help to hold the client down while the injection is administered.

Answer 1

When a client diagnosed with schizophrenia refuses medication, the nurse should allow the client to decline the medication and document the refusal.

Step-by-step explanation:

When a client diagnosed with schizophrenia refuses medication, it is ethically appropriate for the nurse to allow the client to decline the medication and document the refusal (option A). This is because individuals have the right to make decisions about their own healthcare, including the choice to refuse treatment. However, it is important for the nurse to continue engaging with the client to understand their concerns and explore alternative options if necessary.