What is the primary nursing care intervention for an adolescent patient diagnosed with schizophrenia?

Choice A rationale
Becoming helpless might be a response to a stressful situation or a symptom of a mental health disorder. However, it is not specifically a regressive response to the termination of a therapeutic relationship.
Choice B rationale
Returning to previous maladaptive behavior is a regressive response to the termination of a therapeutic relationship. It indicates a relapse into old, unhelpful patterns of behavior.
Choice C rationale
Bringing up new problems might indicate ongoing struggles or the emergence of new issues. However, it is not specifically a regressive response to the termination of a therapeutic relationship.
Choice D rationale
Denying caregiver’s help might indicate resistance or a lack of trust in the therapeutic process. However, it is not specifically a regressive response to the termination of a therapeutic relationship.

Choice A rationale
While understanding a patient’s past experiences can provide context for their current emotional state, it may not directly address the immediate risk of suicide. It’s important to focus on the present situation and the patient’s current feelings.
Choice B rationale
If a patient has a specific plan for suicide, it indicates a higher level of risk. By asking about their plan, the nurse can assess the immediacy and severity of the patient’s suicidal intent. This information is crucial for determining the appropriate level of care and intervention.
Choice C rationale
This question could be interpreted as validating or encouraging the patient’s suicidal thoughts. It’s essential to promote safety and positive coping strategies, rather than focusing on the perceived benefits of suicide.
Choice D rationale
While it’s important to understand the feelings driving a patient’s suicidal thoughts, asking why they want to end their life can come across as judgmental. It’s more helpful to ask about their feelings and listen empathetically.