Without knowing if this patient has a diagnosis of Alz, dementia or other mental health diagnosis, it depends if you have to hide the medication. If you have a patient with dementia, then you may have to hide their medication, but if you have a patient with mental health diagnosis, you need to do some investigating. Why are they really upset? Do they have a UTI? Do they want to get up latter in the morning, etc? I had a patient who was alert, but he didn't want anyone to come clean him up on third shift. He just wanted to be left alone. We tried alot of ways to get him to let us clean him up and sometimes he would corporate and other times NO. You just have to keep working with the patient and family.