Scenario You are a newly hired, MSN-prepared nurse. You are

Todd has schizophrenia and lives in an adult group home staffed 24/7. Todd was recently hospitalized due to increased auditory hallucinations and disorganization. He was taking olanzapine 20mg q hs. Staff are very confident that he is taking the medication as they provide administration and mouth checks for each medication. The lead staff member visited him in the hospital and Todd had remission of symptoms and was ready to be discharged. The providers did not change the dose of the olanzapine and he was discharged on olanzapine 20mg q hs. Approximately 2 weeks after discharge, Todd was demonstrating the same symptoms as he had prior to hospitalization.E What may explain this? • Schizophrenia is a serious mental illness that is often only stable in a hospital setting • Todd does not like his group home and is likely acting this way to not live there anymore • Todd smokes cigarettes. He was not able to smoke while in the hospital, but is when at the group home • Todd drinks caffeine and the hospital serves non-caffeinated coffee and his group home serves caffeinated coffee

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