Question

An older ale client with schizophrenia is found smearing feces on the bathroom walls of the chronic mental health unit where he resides. What action should the RN implement?

A)Explain that the feces belong in the toilet
B)Show the client how to clean the walls
C)Escort the client out of the bathroom
D)Assist the client to clean the walls

Answer 1

The RN should explain that feces belong in the toilet and assist the client to clean the walls, using the situation as a teaching moment to reinforce appropriate hygiene practices.

Step-by-step explanation:

When an older adult client with schizophrenia is found smearing feces on the bathroom walls, the action that the RN should implement is to both explain to the client that feces belong in the toilet and assist the client to clean the walls. This approach involves education and promotes dignity and self-care. The RN should use a calm and nonjudgmental tone to explain appropriate bathroom hygiene practices to the client. Afterwards, the RN should don protective gloves and assist the client in cleaning the walls, providing necessary supplies and demonstrating proper cleaning techniques. This also serves as an opportunity for the RN to assess the client's ability to perform activities of daily living and reinforce appropriate behaviors.

Through this intervention, the RN addresses the immediate issue and also provides a teaching moment that could help prevent future occurrences. In cases of mental illness, therapeutic communication and patient education are essential components of the care provided.