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    RN HESI Mental Health with NGN Proctored Exam

    A client that is homeless, well-educated, and has chronic schizophrenia is admitted to the mental health unit when found by the police walking in the middle of the street. The client presents with a strong body odor, dirty clothes, and avolition. After a week of neuroleptic drug therapy, the client discusses with the nurse thoughts about bathing. Which statement suggests that the client is progressing?

    Explanation & Rationale

    Choice A rationale: "I know that bathing helps prevent infectious diseases" is a factual statement but may not necessarily reflect progress in the client's overall functioning and engagement in self-care. It focuses on the practical aspect of bathing rather than the client's motivation and insight. Choice B rationale: "Others say I am dirty and smell badly, so I will bathe" suggests an external motivation rather than intrinsic motivation. Progress is better indicated when the client expresses a personal desire to engage in self-care activities. Choice C rationale: "I will take a bath today as requested" indicates compliance with external requests rather than an internal desire to care for oneself. It is essential to foster the client's intrinsic motivation for self-care. Choice D rationale: "I feel good when I take care of myself" reflects an internal motivation and positive reinforcement associated with self-care. This statement suggests progress in the client's willingness to engage in personal hygiene activities.

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