Question

After 2 days on the unit, a client with the diagnosis of schizophrenia refuses to take a shower. What is the most appropriate intervention by the nurse?

a) Forcing the client to shower to maintain hygiene.
b) Ignoring the refusal and documenting the behavior.
c) Exploring the reasons for the refusal and providing alternative solutions.
d) Reporting the refusal to the healthcare provider for further action.

Answer 1

The nurse should explore the reasons behind the patient's refusal to shower and offer alternative solutions, approaching the situation with understanding and respect for the patient's condition and preferences.

Step-by-step explanation:

The most appropriate intervention by the nurse when a client with schizophrenia refuses to take a shower would be exploring the reasons for the refusal and providing alternative solutions. It is important to approach the situation with understanding and not force the patient to shower. Forcing could cause psychological distress or trauma, and ignoring could lead to hygiene issues. Discussing the matter with the client respectfully could reveal underlying issues, such as fear or misconceptions, that can be addressed. Alternative solutions could include agreeing on a less frequent bathing schedule, providing privacy, or using no-rinse cleansing options.