TG Chapter 23 - Mental health tb Q&A
3. A client has been diagnosed with schizophrenia. Assessment reveals that the client lives alone. The client has disheveled clothing, uncombed and matted hair, and a strange body odor. During an interview, the client’s family voices a desire for the client to live with them upon being discharged. Based on the assessment findings, which nursing diagnosis would be the priority? A) Ineffective Role Performance related to symptoms of schizophrenia B) Social Isolation related to auditory hallucinations C) Dysfunctional Family Processes related to psychosis D) Bathing Self-Care Deficit related to symptoms of schizophrenia Ans: D Chapter: 23 Client Needs: Psychosocial InteGgRritAyDESLAB.COM Cognitive Level: Apply Integrated Process: Nursing Process Objective: 4 Page Number: 370 Feedback: The negative symptom of avolition may be so profound that simple activities of daily living, such as dressing, bathing, or combing hair, may not get done. Therefore, a priority nursing diagnosis for the client is [Bathing] Self-Care Deficit related to the symptoms of schizophrenia. The family’s desire in caring for the client does not support a nursing diagnosis of Dysfunctional Family Processes. There is no evidence of Ineffective Role Performance or Social Isolation at this time.
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