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 A rationale
Adjustment disorder is a stress-related condition that can cause emotional and behavioral symptoms. However, the child’s withdrawal from previously enjoyed activities and expression of hopelessness about the future are more indicative of depression.
Choice B rationale
Depression is characterized by persistent sadness, a loss of interest in previously enjoyed activities, and feelings of hopelessness. The child’s behavior aligns with these symptoms, suggesting that they may be experiencing depression.
Choice C rationale
Stress disorder, also known as acute stress disorder or post-traumatic stress disorder, is characterized by severe anxiety, flashbacks, and uncontrollable thoughts about a traumatic event. While the child’s behavior could potentially be related to a stress disorder, the symptoms provided are more indicative of depression.
Choice D rationale
Anxiety disorders are characterized by excessive fear or anxiety. While the child’s expression of hopelessness could potentially be related to an anxiety disorder, the withdrawal from previously enjoyed activities is more indicative of depression.
Correct Answer is C
Explanation
Choice A rationale
Leaving the client alone to eat might not address the client’s paranoid belief that the food is poisoned. It could potentially exacerbate the client’s anxiety and paranoia.
Choice B rationale
Asking the client’s family to bring in favorite foods might not be feasible in all situations. Moreover, the client might still harbor paranoid beliefs about the food being poisoned.
Choice C rationale
Allowing the client to observe other clients eating the same food can help alleviate the client’s paranoid belief that the food is poisoned. Seeing others safely consuming the same food can provide reassurance.
Choice D rationale
Giving the client an “anti-poison” placebo prior to meals is not an ethical practice. It can potentially undermine the trust in the therapeutic relationship.
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