A nurse is preparing to administer medications to a client who has schizophrenia.

Exhibits

Complete the following sentence by using the list of options. The nurse should clarify the prescription for 

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due to the client’s

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.

Choice A Reason:
Low tolerance for frustration is a significant risk factor for becoming a perpetrator of child abuse. Individuals who have difficulty managing frustration may become overwhelmed by the normal demands of caregiving, leading to inappropriate responses such as aggression or abuse. Research indicates that caregivers with low frustration tolerance may lack the necessary coping mechanisms to deal with stress, which can increase the likelihood of perpetrating violence against children.

Choice B Reason:
The absence of impulsive behaviors is generally not considered a risk factor for child abuse. In fact, impulsivity can be a risk factor for perpetration because it involves acting without thinking about the consequences, which can lead to harmful behaviors. Therefore, the absence of impulsive behaviors would more likely be a protective factor rather than a risk factor.

Choice C Reason:
A submissive personality is not typically associated with the perpetration of child abuse. While certain personality traits can influence caregiving styles, there is no direct correlation between submissiveness and abusive behavior. It is more common for perpetrators to exhibit controlling and authoritarian traits rather than submissiveness.

Choice D Reason:
Being involved in community activities is generally considered a protective factor against child abuse. Community involvement can provide social support, reduce isolation, and offer resources for stress management. It is associated with positive outcomes for both the caregiver and the child, making it less likely for someone involved in community activities to become a perpetrator of child abuse.

Choice A: Encourage the client to spend time with others in the dayroom.
Encouraging a client experiencing mania to spend time with others in the dayroom might not be the best approach. Clients with mania often have heightened energy levels and may exhibit impulsive or disruptive behavior. This can lead to conflicts or overstimulation, which can exacerbate their condition. Instead, a more controlled and calm environment is usually recommended to help manage their symptoms effectively.

Choice B: Allow the client to choose activities for the day.
While allowing clients to have some autonomy can be beneficial, clients experiencing mania may have difficulty making appropriate decisions due to their heightened state. They might choose activities that are overly stimulating or unsafe. Structured and guided activities are generally more appropriate to ensure the client's safety and well-being during manic episodes.

Choice C: Be specific when explaining care to the client.
Being specific when explaining care to a client with mania is crucial. Clear and concise instructions help reduce confusion and anxiety, providing a sense of structure and predictability. This approach can help the client understand what to expect, which can be calming and help manage their symptoms more effectively. Specific instructions also ensure that the client follows the care plan accurately, which is essential for their treatment and safety.

Choice D: Redirect client behavior by initiating physical exercise.
Redirecting client behavior by initiating physical exercise can be beneficial, as it helps channel the client's excess energy in a positive way. However, it should be done in a controlled manner to prevent overstimulation or exhaustion. Physical exercise can be a part of the therapeutic plan, but it should be balanced with other interventions to ensure the client's overall well-being.