A nurse is conducting a group therapy meeting and shares a humorous story. When the group laughs at the story, a client diagnosed with schizophrenia jumps up and runs out while yelling, 'You are all making fun of me.' The nurse recognizes that the client is displaying which of the following behaviors?"

Choice A Reason:

Clients with severe intellectual disability typically require significant assistance with daily living activities. While they may be able to perform some basic self-care tasks with supervision, their ability to function independently is limited. They often need help with tasks such as dressing, bathing, and eating.

Choice B Reason:

Advanced speech development is not characteristic of severe intellectual disability. In fact, individuals with severe intellectual disability often have limited verbal communication skills. They may use single words, phrases, or gestures to communicate, and their speech development is generally delayed.

Choice C Reason:

Clients with severe intellectual disability often have psychomotor impairments. These can include difficulties with coordination, balance, and fine motor skills. Therefore, it is incorrect to state that their psychomotor skills are not affected.

Choice D Reason:

Communicating wants and needs by "acting out" behaviors is a common characteristic of severe intellectual disability. Due to limited verbal communication skills, individuals may express themselves through behaviors such as tantrums, aggression, or self-injury. These behaviors are often a way to communicate frustration, discomfort, or unmet needs.

Choice A reason:

This response acknowledges the son's feelings of responsibility but does not offer comfort or factual reassurance about the nature of cerebrovascular accidents. It's important for the nurse to provide support and correct any misconceptions the family may have about the condition and its causes.

Choice B reason:

While this response attempts to reassure the son, it dismisses his concerns and fails to acknowledge the seriousness of the mother's condition. It's crucial for the nurse to validate the family's feelings and provide realistic information about the patient's health status.

Choice C reason:

This is the most appropriate response because it addresses the son's feelings without assigning blame. It also opens the door for further discussion about stroke, its causes, and the son's feelings, which can be therapeutic. Strokes are often caused by factors beyond anyone's control, such as age, medical history, and genetics, rather than someone's actions or inactions.

Choice D reason:

This response confronts the son's self-blame but may come across as dismissive. It's better to approach such feelings with empathy and provide information that can help the family member understand that strokes can occur unexpectedly and are not typically preventable on a personal level.