A patient is acutely psychotic, withdrawn, claims to be a robot, and cannot think of how to take a shower. Which response by the nurse is best?
a. "If you can't shower independently, the staff will give you a bed bath.".
b. "I will turn on the water for you and provide you with step-by-step directions.".
c. "You must shower, or you'll risk having people actively avoid being around you.".
d. "We can put off the shower for another day because you don't have any body odor.".
B
Simple, concrete directions are appropriate interventions for a patient with self-concept disturbance evidenced by distorted thinking, passivity, loss of initiative, and inability to make decisions.
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