352 THE SEVERE AND PERSI STENT MENTAL ILLNESS PROGRESS NOTES PLAN NER 22. Refer to a Physician (2 2) A. The client was referred to a physician for an evaluation for a prescription of psychotropic medications. 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 declined evaluation by a physician for a prescription of psychot ropic medications and was redirected to cooperate with this referral. 23. Educate about and Monitor Psychotropic Medications (2 3) 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 me dications and was provided with additional information and feedback regarding his/her medications. D. The client was monitored for compliance with, effectiveness of, and side effects from his/her psychotropic medication regimen. E. The client was provide d with positive feedback about his/her regular use of psychotropic medications. F. 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. 24. Review Side Effects of the Medications ( 24) A. The possible side effects related to the client's medications were reviewed with him/her. B. The client identified significant side effects, and these were rep orted to the medical staff. C. Possible side effects of the client's medications were reviewed, but he/she denied experiencing any side effects. 25. Identify Life Circumstances Contributing to Suicidal Ideation ( 25) A. The client was asked to identify l ife circumstances that have contributed to his/her suicidal ideation. B. The client was provided with support as he/she reviewed the life circumstances that have contributed to his/her suicidal ideation (e. g., the loss of a job or relationship, problems g etting along with others, or hallucinations/delusions). C. As the client has discussed his/her problematic life circumstances, he/she reported an increased hope for the future, and he/she was encouraged for this progress. D. As the client has discussed h is/her life circumstances, he/she continues to report suicidal ideation and was provided with additional support and supervision. 26. Inquire about Emotions ( 26) A. The client was probed about his/her feelings that may be contributing to suicidal ideatio n. B. The client was assisted in identifying how his/her feelings of hopelessness, anger, frustration, or sadness contribute to suicidal ideation. 