QBANK An HIV-positive 37-year-old homeless man with schizophrenia, paranoid type, is admitted to the hospital because of a dry cough, hemoptysis, weakness,

DianaZ

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Aug 24, 2020
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An HIV-positive 37-year-old homeless man with schizophrenia, paranoid type, is admitted to the hospital because of a dry cough, hemoptysis, weakness, fever, sweating, and weight loss. He came voluntarily, wanting to get "something for the cough" but after the necessary tests were performed he was admitted because of the possibility of active tuberculosis. On the unit he is started on anti-tuberculosis medication and anti psychotics. Initially he is cooperative with therapy. After two days in the hospital, however, he begins yelling at the nurses and demands tobedischarged.Heisdeterminedtogetoutofthehospitalandanyconversationtopersuade him that he needs treatment is futile. He threatens to sign himself out of the hospital against medical advice. Which of the following facts should lead the physician in charge of his care to justify involuntary commitment?

A. The patient hasschizophrenia
B. The patient hastuberculosis
C. The patient isagitated
D. The patient is HIV positive
E. The patient is homeless and unable to keep follow-up appointments