Tate is a 30-year-old client. When he was 16, he was in foster care and began to show signs of
the prodromal symptoms of schizophrenia. At 17, he began to experience hallucinations and
delusions. He was hospitalized for treatment where he was diagnosed with schizophrenia and
treated with risperidone which was effective in managing his symptoms. At 18, he graduated
from high school and aged out of foster care leaving him with no support system. He did not
have consistent housing and frequently stayed with friends and acquaintances. Over the next few
years, he was hospitalized with several acute psychotic episodes. Following the most recent
episode, he was prescribed olanzapine 15 mg. He adheres to his treatment regimen when he can
find transportation to the community clinic, but he sometimes runs out of medication. He self-
medicates with alcohol to “make the voices be quiet.”
Tate has no college or vocational training. He occasionally works odd jobs but lacked steady
employment. He receives a small amount of supplemental security income, food assistance, and
his health care is provided via Medicaid. He lacks the social and cognitive skills to obtain
consistent employment and housing without assistance.
a. Discuss how the psychiatric mental health nurse practitioner could assist the client
in the creation of a more viable medication management plan.
The caring of a patient should not only involve the disease process but assessing the issues such
as social determinant of health and the way they affect patient treatment on compliance. As a
Psychiatric health nurse practitioner, it is important to provide care for patient base on individual
base. For this patient, it is apparent that the social determinant of health is a key issues in patient
medication compliance and social wellbeing. To prevent relapses in treatment and foster
compliance the psychiatric NP should collaborate with the patient and social worker to secure
housing and resources for food allocation and transportation vouchers. For individuals with
chronic conditions, medication compliance is necessary to curtail their impact, improve health
outcomes, prevent progression in diagnosis and decrease healthcare costs. According to
(Fernandez-Lazaro et al., 2019), compliance with treatment, and the ability for patient to adhere
to the planned treatment is a vital part of chronic disease management. Hence, to foster this
patient medication compliance the Psychiatry NP should change to patient medication from
medication by mouth to injectable medication once monthly.
b. Write a prescription appropriate for the client with evidence support.
Provider Name: Abioseh E. Pieh
Superhero Family Practice, INC
1234 Kryptonite Way
Superhero City, Superhero State 12301
(800) 123-4567
Patient Name: Tate Date: 07/18/1994
Address: 7490 Highland Oak Drive, Dayton, OH 45066.DOB: 6/1/2017
License: 05312 NPI: _____________ DEA (Controlled Substances Only): ______
Rx: Risperidone microspheres 25 mg/2 mL intramuscular suspension, extended release
Sig: 25mg IM every month
the prodromal symptoms of schizophrenia. At 17, he began to experience hallucinations and
delusions. He was hospitalized for treatment where he was diagnosed with schizophrenia and
treated with risperidone which was effective in managing his symptoms. At 18, he graduated
from high school and aged out of foster care leaving him with no support system. He did not
have consistent housing and frequently stayed with friends and acquaintances. Over the next few
years, he was hospitalized with several acute psychotic episodes. Following the most recent
episode, he was prescribed olanzapine 15 mg. He adheres to his treatment regimen when he can
find transportation to the community clinic, but he sometimes runs out of medication. He self-
medicates with alcohol to “make the voices be quiet.”
Tate has no college or vocational training. He occasionally works odd jobs but lacked steady
employment. He receives a small amount of supplemental security income, food assistance, and
his health care is provided via Medicaid. He lacks the social and cognitive skills to obtain
consistent employment and housing without assistance.
a. Discuss how the psychiatric mental health nurse practitioner could assist the client
in the creation of a more viable medication management plan.
The caring of a patient should not only involve the disease process but assessing the issues such
as social determinant of health and the way they affect patient treatment on compliance. As a
Psychiatric health nurse practitioner, it is important to provide care for patient base on individual
base. For this patient, it is apparent that the social determinant of health is a key issues in patient
medication compliance and social wellbeing. To prevent relapses in treatment and foster
compliance the psychiatric NP should collaborate with the patient and social worker to secure
housing and resources for food allocation and transportation vouchers. For individuals with
chronic conditions, medication compliance is necessary to curtail their impact, improve health
outcomes, prevent progression in diagnosis and decrease healthcare costs. According to
(Fernandez-Lazaro et al., 2019), compliance with treatment, and the ability for patient to adhere
to the planned treatment is a vital part of chronic disease management. Hence, to foster this
patient medication compliance the Psychiatry NP should change to patient medication from
medication by mouth to injectable medication once monthly.
b. Write a prescription appropriate for the client with evidence support.
Provider Name: Abioseh E. Pieh
Superhero Family Practice, INC
1234 Kryptonite Way
Superhero City, Superhero State 12301
(800) 123-4567
Patient Name: Tate Date: 07/18/1994
Address: 7490 Highland Oak Drive, Dayton, OH 45066.DOB: 6/1/2017
License: 05312 NPI: _____________ DEA (Controlled Substances Only): ______
Rx: Risperidone microspheres 25 mg/2 mL intramuscular suspension, extended release
Sig: 25mg IM every month
