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 D
Explanation
Choice A rationale
Control of obesity is not the primary issue with anorexia nervosa and bulimia. These disorders involve much more complex psychological issues.
Choice B rationale
While food plays a central role in these disorders, it is not the primary issue. The primary issue is more related to body image and control.
Choice C rationale
Depression can be a symptom or result of these disorders, but it is not the primary issue.
Choice D rationale
Body image is the primary issue with anorexia nervosa and bulimia. Individuals with these disorders have a distorted body image and extreme fear of gaining weight, which leads to harmful behaviors such as extreme food restriction or binge eating and purging.
Correct Answer is A
Explanation
Choice A rationale
Expressing understanding and empathy is generally the most appropriate response when a patient is expressing anger or distress about a personal situation. It validates the patient’s feelings and shows that the healthcare provider is listening and cares about their well-being.
Choice B rationale
Telling the patient to “look on the bright side” could be perceived as dismissive of her feelings. It’s important to acknowledge her feelings of anger and allow her to express them.
Choice C rationale
Saying “I know exactly how you feel” can come across as presumptuous. Even if the healthcare provider has experienced a similar situation, everyone’s experiences and feelings are unique.
Choice D rationale
While it’s true that many people experience strong feelings after a divorce, stating this might not be helpful to the patient in the moment. It’s more important to acknowledge her individual feelings and experience.
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