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Alien Impulses and Risk to Others History A 30-year-old shop assistant presents to the emergency department requesting that they remove the microchip from her brain. She says that this chip was implanted into her brain some weeks ago in order that aliens could control her mind. She has previously been diagnosed with paranoid schizophrenia and has had a number of previous admissions to psychiatric hospitals, the majority of which have been involuntary admissions. She has previously been treated with a number of different types of antipsychotic medications, and this is currently olanzapine 20 mg once daily. Her last admission to hospital was 6 months ago and since this time she has often missed her medication. She has no past medical history of note.
What should be the first priority for this client? What in your data collection indicates that the client is at high risk for HIV?
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