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?

Choice A rationale
Failure to explore a client’s point of view is a nontherapeutic communication technique, but it’s not the most fitting description for the scenario. The nurse’s yawning and frequent glancing at the watch doesn’t necessarily indicate a lack of exploration of the clients’ perspectives.
Choice B rationale
Eliciting vague descriptions can be a nontherapeutic communication technique, but it doesn’t seem to apply in this context. The nurse’s actions don’t suggest that they are eliciting vague descriptions from the clients.
Choice C rationale
Failure to listen is the most appropriate answer. The nurse’s yawning and frequent checking of the watch during therapy time could indicate a lack of attention or interest in what the clients are saying, which can be perceived as failing to listen.
Choice D rationale
Failure to probe can be a nontherapeutic communication technique, but it doesn’t seem to apply in this context. The nurse’s actions don’t suggest that they are failing to probe or ask further questions.

Choice A rationale
A therapeutic area refers to a specific location or setting where therapeutic activities or treatments occur. However, it doesn’t necessarily imply a comprehensive environment designed to assist patients in replacing inappropriate behaviors with more effective personal and psychosocial skills.
Choice B rationale
A therapeutic environment, also known as a therapeutic milieu, is a broad term that describes settings designed to help patients replace inappropriate behaviors with more effective personal and psychosocial skills.
Choice C rationale
A therapeutic unit could refer to a specific department or team within a healthcare facility that provides therapeutic services. However, it doesn’t necessarily denote an environment designed for behavioral and psychosocial skill development.
Choice D rationale
A therapeutic setting could refer to any location where therapeutic services are provided. It’s a more general term and doesn’t specifically denote an environment designed to help patients replace inappropriate behaviors with more effective personal and psychosocial skills.