Brian, a patient with schizophrenia, has been ordered an antipsychotic medication. The medication will likely benefit him, but there are side effects; in a small percentage of patients, it may cause a dangerous side effect. After medication teaching, Brian is unable to identify side effects and responds, “I won’t have any side effects because I am iron and cannot be killed.” Which response would be most appropriate under these circumstances?

a. Administer the medication because Brian has made a decision to take the medication, and care should be patient-centered.

b. Petition the court to appoint a guardian as a substitute for Brian, as he is unable to comprehend the proposed treatment.

c. Administer the medication because Brian’s need for treatment is the clear priority.

d. Withhold the medication until Brian is able to identify the benefits and risks of both consenting and refusing consent to the medications.

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