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:
Stress from a new job could indeed be a cause of a depressed mood. Changes in life circumstances, such as starting a new job, can be stressful and lead to feelings of depression.
Choice B rationale:
High blood pressure is not typically a direct cause of a depressed mood. It is a physical health condition that needs to be managed, but it does not directly cause depression.
Choice C rationale:
An elevated heart rate is not typically a direct cause of a depressed mood. It is a physical symptom that can be associated with many different conditions, but it does not directly cause depression.
Choice D rationale:
Renal dysfunction is not typically a direct cause of a depressed mood. It is a physical health condition that needs to be managed, but it does not directly cause depression.
Correct Answer is A
Explanation
Choice A rationale:
Asking the client about the lethality of their plan is the most appropriate action. This allows the nurse to assess the immediate risk to the client’s safety.
Choice B rationale:
Encouraging the client to focus on the positive aspects of life may be helpful in some situations, but it does not address the immediate safety concern.
Choice C rationale:
Reassuring the client that everything is going to work out may provide temporary relief, but it does not address the immediate safety concern.
Choice D rationale:
Allowing the client time alone to self-reflect is not appropriate in this situation as it could increase the risk of self-harm.
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