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]

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 to bed is charged. He is determined to get out of the hospital and any conversation to persuade 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 has schizophrenia
B. The patient has tuberculosis
C. The patient is agitated
D. The patient is HIV positive
E. The patient is homeless and unable to keep follow-up appointments