The community psychiatric nurse learns that a suspicious and socially isolated client who lives alone
chooses to eat one meal a day at a nearby soup kitchen and spend the remainder of his daily food
allowance on cigarettes.
The nurse's initial action should be to
a. tell the client he must stop smoking to save money.
b. assess weight and determine foods and amounts eaten.
c. report the situation to the manager of the soup kitchen.
d. seek rehospitalization for the client while a new plan is put into place.
ANS: B
Assessment of biopsychosocial needs and general ability to live in the community is called for
before any action is taken. Both nutritional status and income adequacy are critical assessment
parameters. Option A: This demand would probably be ignored. Remember, a client may be able to
maintain adequate nutrition while eating only one meal a day. Option C: The rule is to assess before
taking action. Option D: Hospitalization may not be necessary.
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