A patient with catatonic schizophrenia is semistuporous, ...

[vicotolentino]

A patient with catatonic schizophrenia is semistuporous, demonstrates little spontaneous movement, and has waxy flexibility. The patient's activities of daily living are severely compromised. An appropriate outcome is that the patient will:
 
  a. demonstrate increased interest in the environment by the end of week 1.
  b. perform self-care activities with coaching by the end of day 3.
  c. gradually take the initiative for self-care by the end of week 2.
  d. accept tube feeding without objection by day 2.

Question 2

A patient with catatonic schizophrenia exhibits little spontaneous movement and demonstrates waxy flexibility. Which patient needs are of priority importance?
 
  a. Psychosocial
  b. Physiologic
  c. Self-actualization
  d. Safety and security

[fwbard]

Answer to Question 1

ANS: B
Outcomes related to self-care deficit nursing diagnoses should deal with increasing the patient's ability to perform self-care tasks independently, such as feeding, bathing, dressing, and toileting. Performing the tasks with coaching by the nursing staff denotes improvement over the complete inability to perform the tasks. The incorrect options are not directly related to self-care activities; they are difficult to measure and are unrelated to maintaining nutrition.

Answer to Question 2

ANS: B
Physiologic needs must be met to preserve life. A patient who is semistuporous must be fed by hand or tube, toileted, and given range-of-motion exercises to preserve physiologic integrity. Safety needs rank second to physical needs. Higher level needs are of lesser concern.