Psychotic Disorders no. 4006

Psychotic Disorders no. 4006

QUESTION: A client with paranoid schizophrenia repeatedly uses profanity during an activity therapy session. Which response by the nurse would be most appropriate?

✘O a.) "Your behavior won't be tolerated. Go to your room immediately."
✘O b.) "You're just doing this to get back at me for making you come to therapy."
✓O c.) "Your cursing is interrupting the activity. Take time out in your room for 10 minutes."
✘O d.) "I'm disappointed in you. You can't control yourself for even a few minutes."

RATIONALE

RATIONALE: The nurse should set limits on client behavior to ensure a comfortable environment for all clients. The nurse should accept hostile or quarrelsome client outbursts within limits without becoming personally offended, as in option 1. Option 2 is incorrect because it implies that the client's actions reflect feelings toward the staff instead of the client's own misery. Judgmental remarks, such as option 4, may decrease the client's self-esteem.
NURSING PROCESS STEP: Implementation
CLIENT NEEDS CATEGORY: Psychosocial integrity
CLIENT NEEDS SUBCATEGORY: None
COGNITIVE LEVEL: Application