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

Choice A rationale
Trust is an essential component of a therapeutic relationship, but it is not exemplified in this scenario. Trust involves believing in and relying on the honesty, integrity, and reliability of another person.
Choice B rationale
Acceptance involves acknowledging and respecting the feelings, beliefs, and experiences of others without judgment. While acceptance is important in a therapeutic relationship, it is not demonstrated in this scenario.
Choice C rationale
The therapeutic use of self involves using one’s personality, insights, perceptions, and judgments as part of the therapeutic process. In this scenario, the nurse is using her personal experience (having children) to connect with the client, which is an example of the therapeutic use of self.
Choice D rationale
Empathy involves understanding and sharing the feelings of another person. While empathy is crucial in a therapeutic relationship, it is not demonstrated in this scenario.

Choice A rationale
Regression is a defense mechanism where an individual reverts to a previous stage of development in response to a stressful situation. This is not demonstrated in the patient’s statement.
Choice B rationale
Rationalization involves creating logical but untrue explanations to justify unacceptable behavior or feelings. In this scenario, the patient is rationalizing their failure to take their medication by blaming their partner’s forgetfulness.
Choice C rationale
Projection involves attributing one’s own unacceptable thoughts or feelings to others. This is not demonstrated in the patient’s statement.
Choice D rationale
Repression involves unconsciously blocking out painful or uncomfortable thoughts or feelings. This is not demonstrated in the patient’s statement.