A 56-Year-Old Lady with a History of Schizophrenia Is Admitted

A 56-year-old lady with a history of schizophrenia is admitted to the hospital with right upper quadrant stomach discomfort and is later diagnosed with cholecystitis. She is being treated with antibiotics first, then a cholecystectomy is scheduled. The patient reported feeling significantly better on day two of her stay. The patient does not want surgery and would rather take oral antibiotics at home. "I believe God is on my side and will take care of me," she adds. The patient lives in a group home and attends a day treatment program where she receives risperidone on a regular basis. During the examination, the patient is attentive and aware of person, place, and time. She claims to have heard voices many times a day for many years, but they no longer affect her as much as they once did. The patient has no suicidal ideation.  Which of the following is the best next step in management of this patient?

A) Administer a higher dose of risperidone and reassess the patient
B) Assess the patient's understanding of the risks of going home
C) Keep the patient hospitalized on involuntary status due to schizophrenia
D) Obtain consent for surgery from the patient's next of kin
E) Respect the patient's wishes and schedule a follow-up in a week

Correct Answer:

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