Psychotic Disorders no. 4038

Psychotic Disorders no. 4038

QUESTION: A client with catatonic schizophrenia is mute, can't perform activities of daily living, and stares out the window for hours. What is the nurse's first priority?

✓O a.) Assist the client with feeding.
✘O b.) Assist the client with showering.
✘O c.) Reassure the client about safety.
✘O d.) Encourage socialization with peers.

RATIONALE

RATIONALE: According to Maslow's hierarchy of needs, the need for food is among the most important. Other needs, in order of decreasing importance, include hygiene, safety, and a sense of belonging.
NURSING PROCESS STEP: Planning
CLIENT NEEDS CATEGORY: Physiological integrity
CLIENT NEEDS SUBCATEGORY: Basic care and comfort
COGNITIVE LEVEL: Application