A client has been admitted with disorganized type schizophrenia. The nurse observes blunted af-fect and social isolation. The client occasionally curses or calls another client a "jerk" without provocation
The nurse asks the client how he is feeling, and he responds, "Everybody picks on me. They fro-bitz me." The best response for the nurse to make would be:
1. "That's really too bad."
2. "Who do you mean when you say ‘everybody'?"
3. "What difference does frobitzing make?"
4. "Why do they frobitz?"
ANS: 2
This response will help clarify the client's thinking and change the focus from global to specific. Option 1 sympathizes and is a nonproductive response. Options 3 and 4 accept the client's neol-ogism. Accepting the neologism supports the client's delusional thinking.
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