Author Question: A client with catatonic schizophrenia is semistuporous, demonstrating little spontaneous movement ... (Read 63 times)

jon_i · **on:** Jul 19, 2018

A client with catatonic schizophrenia is semistuporous, demonstrating little spontaneous movement
and waxy flexibility. The client's self-care activities of daily living have been assessed as severely
compromised.

An appropriate outcome would be that the client 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 week 1.
c. gradually assume the initiative in self-care by the end of week 2.
d. accept tube feeding without objection by day 2.

Question 2

An appropriate nursing intervention for an agitated, depressed client who paces the corridor hour
after hour is to

a. restrain the client in a chair.
b. seclude the client as needed.
c. provide a simple monotonous task.
d. explain that pacing produces fatigue.

tmlewis4706 · **Reply #1 on:** Jul 19, 2018

Answer to Question 1

B
Outcomes related to self-care deficit nursing diagnoses should deal with increasing ability to
perform self-care tasks independently, such as feeding, bathing, dressing, and toileting. Performing
the tasks with coaching by nursing staff denotes improvement over the complete inability to perform
the tasks. Option A is not directly related to self-care activities. Option C is difficult to measure.
Option D is related to maintenance of nutrition.

Answer to Question 2

C
Providing a simple monotonous task may reduce the amount of pacing. Options A and B: Restraint
and seclusion are punitive. Option D: Explanations may not be comprehended when concentration is
poor.