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 A
Explanation
Choice A rationale:
A vulnerability gene is a variant that increases the risk for the development of a specific mental illness. It does not guarantee the development of the illness, but it increases susceptibility.
Choice B rationale:
A vulnerability gene is not solely responsible for the development of a specific mental illness. Mental illnesses are typically the result of a combination of genetic, environmental, and psychological factors.
Choice C rationale:
A vulnerability gene does not determine an individual’s resilience to stress. Resilience is a complex trait influenced by multiple genes and environmental factors.
Choice D rationale:
A vulnerability gene does not determine an individual’s likelihood of recovering from mental illness. Recovery is influenced by a variety of factors, including treatment, support systems, and individual resilience.
Correct Answer is B
Explanation
Choice A rationale:
Depersonalization is a symptom of PTSD, but it involves feeling detached from oneself, not reenacting traumatic events.
Choice B rationale:
Posttraumatic play is a common manifestation of PTSD in children. It involves the child reenacting the traumatic event, which can be seen in the child’s mimicking of shooting a gun.
Choice C rationale:
Omen formation is a belief that there were warning signs predicting the trauma. It’s not related to the child’s behavior.
Choice D rationale:
Time skewing involves a shift in the perception of time during the recall of the traumatic event. It’s not demonstrated in this scenario.
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