A client with schizophrenia anxiously describes seeing the left side of her body merge with the wall
as she walked down the corridor and of seeing her face appear and disappear in the bathroom mirror.
As the nurse listens she should
a. sit close to the client on the bed.
b. place an arm protectively around the client's shoulders.
c. place a hand on the client's arm and exert light pressure.
d. maintain the normal social interaction distance from the client.
D
The client is describing phenomena that indicate personal boundary difficulties. The nurse should
maintain appropriate social distance from the client and not touch her because the client is anxious
about her inability to maintain ego boundaries and merging or being swallowed by the environment.
Physical closeness or touch could precipitate panic.
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