A client on the inpatient psychiatric unit asks the nurse, "Why is the daily schedule so full of activities and why do we have so many rules to follow?" Which of the following is the best response by the nurse?
1. "A daily routine helps you keep on track and organize your thoughts. The rules help people live together respectfully."
2. "Clients with mental illness get too chaotic and unpredictable when they don't have a structured routine to follow."
3. "Idle hands and minds are the devil's playground."
4. "The real world is full of rules and activities for everyone to follow."
1
Rationale: A routine helps clients keep on track and organize their thinking as well as their activities. Rules promote harmony and respect in a therapeutic environment. Remarks like "idle minds" and "devil's playground" can be confusing and belittling to the client. References to the "real world" and referring to client behavior as "chaotic and unpredictable" imply that clients with psychiatric illness are incapable of living independently in the community and are belittling to the client as well.
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