308 THE SEVERE AND PERSI STENT MENTAL ILLNESS PROGRESS NOTES PLAN NER B. The client was reinforced for following through on a referral to a physician for an assessment for a prescription of psychotropic medications, but none were prescribed. C. The client has been prescribed psychotropic medications. D. The client declin ed evaluation by a physician for a prescription of psychotropic medication and was redirected to cooperate with this referral. 20. Educate about and Monitor Psychotropic Medications (2 0) A. The client was taught about the indications for and the expected benefits of psychotropic medications. B. As the client's psychotropic medications were reviewed, he/she displayed an understanding about the indications for and expected benefits of the medications. C. The client displayed a lack of understanding of the indications for and expected benefits of psychotropic medications and was provided with additional information and feedback regarding his/her medications. D. The client was monitored for compliance with his/her psychotropic medication regimen. E. The cl ient was provided with positive feedback about his/her regular use of psychotropic medications. F. The client was monitored for the effectiveness and side effects of his/her prescribed medications; concerns about the client's medication effectiveness and side effects were communicated to the physician. G. Although the client was monitored for medication side effects, he/she reported no concerns in this area. 21. Advocate for Medications that Reduce Extrapyramidal Side Effects (EPSs) ( 21) A. Advocacy was provided for the client to his/her prescribing physician regarding the use of medications that reduce the likelihood of extrapyramidal side effects (EPSs). B. The client's prescribing physician has agreed to adjust medications to reduce EPSs, and this was told to the client. C. The client's prescribing physician has indicated that the client's medications cannot be adjusted to further decrease the likelihood of EPSs, and this was told to him/her. 22. Assist in Increasing ADLs ( 22) A. The client was enc ouraged to increase performance on his/her activities of daily living (ADLs). B. The client was reinforced for his/her improvement in personal appearance as a result of his/her increased focus on ADLs. C. The client was supported as he/she reported an en hanced self-image as a result of his/her improved ADLs and personal appearance. D. The client has not improved his/her performance on ADLs and was encouraged to do so. 23. Refer to a Support Group ( 23) A. The client was referred to a support group for i ndividuals with severe and persistent mental illness. B. The client has attended the support group for individuals with severe and persistent mental illness, and the benefits of this support group were reviewed. 