The nurse is helping a patient with schizophrenia develop an exercise plan. The patient has obtained medical clearance for walking and light exercise. Which nursing interventions are the most appropriate? Select all that apply
1. Assess medication adherence.
2. Assess patient confidence level.
3. Provide memory prompts.
4. Provide reality orientation.
5. Assess body mass index.
Answer: 2, 3
Explanation: A significant symptom of schizophrenia spectrum disorder (SSD) is lack of motivation. One aspect of motivation is self-efficacy, which includes confidence in ability to perform tasks and expectations of benefits from successfully performing tasks. Nurses can help motivate patients to participate in regular exercise by assessing their confidence in participating in the type of exercise and providing memory prompts of earlier physical competence. Assessments of body mass index and medication adherence, although important when working with patients with SSDs, are not nursing interventions to help motivate patients to exercise. Nurses provide reality orientation to patients who are experiencing delusions to decrease false perceptions and enhance self-worth.
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