A Patient with Schizophrenia,aged 60 Years,spent 5 Years in a State

A patient with schizophrenia,aged 60 years,spent 5 years in a state hospital before being discharged to a community residence.The patient requires persistent direction to accomplish daily activities of living,has difficulty determining what to do with his time,and is resistant to behaving independently,expecting others to provide meals or wash his clothes.The nurse assesses this passive behavior as being the probable result of:

A) dependency caused by institutionalization.
B) cognitive deterioration from schizophrenia.
C) brain damage from recreational drug use.
D) side effects of neuroleptic medications.

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