A nurse is caring for a client who has been diagnosed with schizophrenia.
The client has been wearing the same clothes for the past week and appears unkept and unbathed.
Which of the following statements should the nurse make to the client?
"I'm going to ignore your lack of self-care because it is an aspect of the disorder.”.
"This is it! You are getting a bath! There are three of us here to bathe you!".
"It is now time for you to bathe.
"Do you really think it is ok not to bathe? What is going on with you?".
The Correct Answer is C
Choice A rationale:
Ignoring the client’s lack of self-care is not therapeutic. It’s important to address hygiene issues with clients who have schizophrenia.
Choice B rationale:
This approach is confrontational and does not respect the client’s autonomy or dignity.
Choice C rationale:
This is the best choice because it respects the client’s autonomy and provides them with a choice, which can help motivate them to participate in self-care activities.
Choice D rationale:
This statement is judgmental and confrontational, which is not therapeutic.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A rationale:
Avoiding foods that contain tyramine is important when taking monoamine oxidase inhibitors, not antipsychotics like clozapine.
Choice B rationale:
Limiting fluid intake is not typically necessary when taking antipsychotics.
Choice C rationale:
Medication adherence after the resolution of acute psychosis is crucial when taking antipsychotics to prevent relapse.
Choice D rationale:
Routine red blood cell count laboratory work is not typically necessary when taking antipsychotics like clozapine.
Correct Answer is D
Explanation
Choice A rationale:
Separation anxiety disorder is characterized by excessive fear or anxiety about separation from those to whom the individual is attached.
Choice B rationale:
Agoraphobia involves marked fear or anxiety about two or more of the following: using public transportation, being in open spaces, being in enclosed places, standing in line or being in a crowd, or being outside of the home alone.
Choice C rationale:
Panic disorder is characterized by recurrent unexpected panic attacks, which are abrupt surges of intense fear or discomfort that reach a peak within minutes.
Choice D rationale:
Generalized anxiety disorder is characterized by excessive anxiety and worry about a number of events or activities. The individual finds it difficult to control the worry.
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