A 30-year-old man is admitted to the mental health inpatient unit diagnosed with schizophrenia.
His clothes are dirty, his hair is unkempt, he hasn’t shaved for several days, and his teeth are chipped with several cavities visible.
He is experiencing hallucinations and delusions.
What is the primary concern for this client?
Inability to engage in self-care activities.
Refusal to participate in self-care activities.
Difficulty in social interactions.
Resistance to medication therapy.
The Correct Answer is A
Choice A rationale
The description of the man’s appearance and behavior suggests that he is struggling with basic self-care activities, such as maintaining personal hygiene and taking care of his physical health. This is a common issue for individuals with schizophrenia.
Choice B rationale
While refusal to participate in self-care activities could be a concern, the information provided doesn’t indicate that the man is refusing to engage in these activities. Rather, it seems he may be unable to do so.
Choice C rationale
Difficulty in social interactions can be a symptom of schizophrenia, but the primary concern in this case, based on the information given, appears to be the man’s inability to engage in self-care activities.
Choice D rationale
Resistance to medication therapy could be a concern for individuals with schizophrenia, but the information provided doesn’t indicate that this is the primary concern in this case.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice B rationale:
Involuntary commitment typically occurs when a person's mental illness makes them a danger to themselves or others. It is essential for the nurse to communicate this crucial information to the client's family to help them understand the necessity of treatment.
Choice A rationale:
While a psychiatrist may be involved in the decision to commit a client involuntarily, simply stating that the client's behavior is irrational does not provide sufficient information about the reasons for commitment (no reference).
Choice C rationale:
The inability to manage daily life affairs may be a factor in considering involuntary commitment, but it is not the primary reason for such a decision (no reference).
Choice D rationale:
Accusation of a legal offense is not directly related to involuntary commitment for psychiatric treatment, which focuses on the client's mental health and potential risk to self or others (no reference).
Correct Answer is A
Explanation
Choice A rationale
Diagnostic data is a crucial part of a mental health admission assessment. This includes information about the patient’s current and past mental health issues, as well as any relevant medical conditions.
Choice B rationale
While orientation (awareness of time, place, and person) is often assessed during a mental health admission assessment, it is not the primary component of the assessment.
Choice C rationale
Intelligence testing is not typically included in a mental health admission assessment. The focus of the assessment is on the patient’s mental health needs, not their intellectual abilities.
Choice D rationale
While a diagnosis may be determined as a result of a mental health admission assessment, the diagnosis itself is not included in the assessment. The assessment is used to gather the information needed to make a diagnosis.
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