Psychotic Disorders no. 4076
QUESTION: The nurse is caring for a client with schizophrenia. Which outcome is the least desirable?
✓O a.) The client spends more time by himself.
✘O b.) The client doesn't engage in delusional thinking.
✘O c.) The client doesn't harm himself or others.
✘O d.) The client demonstrates the ability to meet his own self-care needs.
RATIONALERATIONALE: The client with schizophrenia is commonly socially isolated and withdrawn; therefore, having the client spend more time by himself wouldn't be a desirable outcome. Rather, a desirable outcome would specify that the client spend more time with other clients and staff on the unit. Delusions are false personal beliefs. Reducing or eliminating delusional thinking using talking therapy and antipsychotic medications would be a desirable outcome. Protecting the client and others from harm is a desirable client outcome achieved by close observation, removing any dangerous objects, and administering medications. Because the client with schizophrenia may have difficulty meeting his or her own self-care needs, fostering the ability to perform self-care independently is a desirable client outcome.NURSING PROCESS STEP: AnalysisCLIENT NEEDS CATEGORY: Psychosocial integrityCLIENT NEEDS SUBCATEGORY: NoneCOGNITIVE LEVEL: Analysis
