NCLEX-RN

Category - Psychosocial

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A 25-year-old client with schizophrenia lives by himself. He does not bathe, brush his teeth, comb his hair, or dress himself. He forgets to take his medications and his eating habits are erratic. He says he spends most of his time in bed. As the nurse makes the care plan, which of the following nursing diagnoses should be her priority?

Bathing or hygiene self-care deficit
Activity intolerance
Imbalanced nutrition: Less than body requirements
Ineffective role performance

Explanation

Answer: C - Nutrition should be the nurse’s immediate priority. A client having schizophrenic crisis usually demonstrates many self-care deficits. These problems are addressed after stabilizing the client’s nutritional status.

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