In caring for a withdrawn psychotic client, what is the priority goal for the nurse?

In the context of caring for a withdrawn psychotic client, developing trust with the client is a priority goal for the nurse. Establishing a trusting relationship is fundamental in mental health nursing, particularly with clients experiencing psychosis, as it creates a safe environment where clients feel secure enough to express themselves and engage in treatment. When trust is established, clients are more likely to participate in their care, share their thoughts, and adhere to treatment plans.

For individuals with psychotic disorders, who may experience paranoia, delusions, or extreme emotional distress, building trust is an essential step in breaking down barriers to communication and interaction. Once a solid foundation of trust is established, other therapeutic interventions, such as encouraging social interaction or increasing physical activity, can be more effectively implemented. Without trust, efforts to engage the client in these activities may not be successful, as they may resist or feel threatened by attempts to force social interaction or change their routine.

The priority of developing trust directly supports the therapeutic relationship and lays the groundwork for further recovery-focused interventions.