The following client outcome has been established for a client with schizophrenia who is receiv-ing home health care following discharge from the hospital: Client will bathe weekly and wear clean clothing
The client's mother tells the home health nurse, "He bathed the first week after he left the hospi-tal, but he hasn't bathed this week." How should the nurse handle this situation?
1. Reemphasize the fact that the client has no choice if he wants to improve.
2. Enlist the help of a more objective family member to assist the client.
3. Praise the client for bathing once, review the goal, and reevaluate in a week.
4. Examine the client's skin for possible breakdown related to poor hygiene.
ANS: 3
Reviewing the goal and giving praise may encourage the client to do better. Extending the time frame for the outcome may increase the client's compliance. 1. This is coercive. 2. No data imply that the mother was not objective. 4. A withdrawn client would consider this intervention intru-sive.
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