Author Question: A disheveled, severely depressed client with psychomotor retardation has not showered for several ... (Read 60 times)

c0205847 · **on:** Jul 19, 2018

A disheveled, severely depressed client with psychomotor retardation has not showered for several
days. The nurse should

a. avoid forcing the issue.
b. firmly and neutrally assist the client to shower.
c. calmly tell the client that he or she must shower or be secluded.
d. bring the issue up at the community meeting.

Question 2

The statement made by a client with borderline personality disorder that indicates the treatment plan
is effective is

a. I think you are the best nurse on the unit..
b. I hate my doctor. He never gives me what I ask for..
c. I feel empty and want to cut myself so I called you..
d. I'm never going to get high on drugs again..

adf223 · **Reply #1 on:** Jul 19, 2018

Answer to Question 1

B
When clients are unable to perform self-care activities, staff must assist them rather than ignore the
issue (option A). Being better groomed increases self-esteem. Options C and D are punitive.

Answer to Question 2

C
Seeking a staff member instead of impulsively self-mutilating shows an adaptive coping strategy.
Option A demonstrates idealization. Option B demonstrates devaluation. Option D demonstrates
wishful thinking.