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    Ati pn mental health proctored exam

    A nurse is caring for a client who has been diagnosed with schizophrenia. The client has been wearing the same clothes for the past week and appears unkempt and unbathed. Which of the following statements should the nurse make to the client?

    Explanation & Rationale

    A. "This is it! You are getting a bath! There are three of us here to bathe you!": Being overly aggressive does not respect the client's autonomy and may cause feelings of threat or coercion. Such an approach could exacerbate anxiety or agitation, making it counterproductive in building rapport. B. "It is now time for you to bathe. Do you want to wear the red or green shirt?": Establishing a clear expectation while offering a choice promotes the client's autonomy. Providing options helps engage the client in the process and encourages participation in self-care activities without overwhelming them. C. "I'm going to ignore your lack of self-care because it is an aspect of the disorder.": Ignoring the client's lack of self-care is unhelpful and may reinforce neglect of personal hygiene. Addressing self-care needs directly while being sensitive to the client's condition is essential for providing appropriate support. D. "Do you really think it is okay not to bathe? What is going on with you?": Asking questions in a confrontational or judgmental manner can hinder open communication and trust. While understanding the client's feelings is important, a more supportive and non-judgmental approach is effective in promoting engagement and encouraging self-care.

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