A client with SPMI has been homeless for several months prior to his current admission to the hospital for the treatment of cellulitis resulting from a leg wound. How should the nurse encourage the client to attend to his hygiene needs?
A) "When was the last time that you got cleaned up?"
B) "Do you remember how good it feels to be clean shaved and showered?"
C) "I've brought you a towel and some soap because you need to take a shower."
D) "If you take a shower now, I'll get someone to take you out for a cigarette later."
Ans: C
During cognitive–behavioral therapy, the nurse encourages the client to maintain personal hygiene and uses techniques such as positive reinforcement to improve the client's efforts. Telling the client in a matter-of-fact manner that it is time to take a shower and then providing the materials needed for showering provide necessary cues.
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