A client diagnosed with schizophrenia tells a nurse, "The "˜Shopatoulens' took my shoes out of my room last night." Which is an appropriate charting entry to describe this client's statement?

Correct Answer: B

Rationale: The correct answer is B: The client is expressing a neologism. Neologism refers to the creation of new words or phrases that are not understandable to others. In this case, "Shopatoulens" is a nonsensical word created by the client. This response is appropriate as it accurately describes the client's statement. A: The client is experiencing command hallucinations - This choice is incorrect as command hallucinations involve hearing voices that command the individual to do something. The client's statement does not indicate this. C: The client is experiencing a paranoid delusion - This choice is incorrect as a paranoid delusion involves irrational beliefs of being persecuted or targeted. The client's statement does not reflect this type of delusion. D: The client is verbalizing a word salad - This choice is incorrect as word salad refers to jumbled, incoherent speech. The client's statement, while nonsensical, is not completely incoherent like word salad.

Correct Answer: B

Rationale: The correct answer is B because not using the walker poses a safety risk for the client, leading to falls or injuries. Immediate nursing intervention is needed to assess and address the client's refusal to use the walker. Choice A is incorrect because eating 80% of meals shows good appetite and does not require immediate intervention. Choice C is incorrect as watching TV with others is a social activity and not a cause for concern. Choice D is incorrect as wanting to wear own clothing is a normal preference and does not pose a risk to the client's safety.

Correct Answer: A

Rationale: The correct answer is A because it demonstrates therapeutic communication by expressing empathy and encouraging the son to share his feelings. By acknowledging his emotions, the nurse can establish trust and build a rapport with the son, which is crucial in this sensitive situation. Option B is incorrect as it focuses on medical facts rather than addressing the emotional needs of the son. Option C is incorrect as it lacks empathy and may come off as dismissive. Option D is incorrect as it jumps to a solution without addressing the son's emotional state. In summary, option A is the best response as it prioritizes the son's emotional needs and allows for effective communication.

Correct Answer: B

Rationale: The correct answer is B: absorbed through the skin. Transdermal medications are applied to the skin and absorbed into the bloodstream. This route bypasses the digestive system and first-pass metabolism, providing a consistent drug level. Choices A, C, and D are incorrect as they describe different routes of drug administration that are not associated with the transdermal route.

Correct Answer: D

Rationale: The correct answer is D: help them maintain independence. Maintaining independence is crucial for individuals with chronic illnesses and disabilities to enhance their quality of life. It allows them to have a sense of control, self-reliance, and dignity. Independence also promotes physical and mental well-being by fostering self-esteem and reducing feelings of helplessness. Choices A, B, and C are important aspects as well, but independence is the foundation that enables individuals to engage in activities related to eating well, achieving financial stability, and preserving social interactions.