Which intervention should the nurse include in the client's plan of care? The nurse is assigned to a client with catatonic schizophrenia.
A. Meeting all of the client s physical needs B. Giving the client an opportunity to express concerns C. Administering lithium carbonate (Lithonate) as prescribed D. Providing a quiet environment where the client can be alone
The correct answer to this is A. A person who is in a catatonic stage is unable to react. Patients who are diagnosed to be catatonic may just stare and do nothing. Some of them may sustain certain positions for a long time. They are unable to care for themselves properly.
Even the basic things that they usually did before they became catatonic cannot be done anymore. The nurse’s duty is to make sure that the patient’s basic needs are all met. The patient would need to be kept clean and should still be well-fed and healthy. This will make it easier for the patient to get his life back on track once he gets out of the catatonic state.
Meeting all of the client\ s physical needs- because a client with catatonic schizophrenia cant meet physical needs independently, the nurse must provide for all of these needs, including adequate food and fluid intake, exercise, and elimination. this client is incapable of expressing concerns; however, the nurse should try to verbalize the message conveyed by the clients nonverbal behavior. lithium is used to treat mania, not catatonic schizophrenia. despite the clients mute, unresponsive state, the nurse should provide nonthreatening stimulation and should spend time with the client, not leave the client alone all the time. although aware of the environment, the client doesnt interact with it actively; the nurses support and presence can be reassuring.