مريض عمره ٢٢ سنة ما يتحرك ولا يتكلم منذ ساعات، يبقى في وضعية غريبة لفترة طويلة، ويرفض الأكل والشرب. ما الأولوية؟

A 22-year-old man has not moved or spoken for hours, holds odd postures for long periods and refuses food and fluids. What is the priority?

1. Encourage him to join group activity
2. Leave him alone until he speaks
3. Meet fluid, food and skin needs
4. Explore his thoughts in detail

Answer: C) Meet fluid, food and skin needs. In catatonia the danger is physical: dehydration, malnutrition, pressure injury and clots; fluids, feeding and repositioning are needed, often with lorazepam or ECT.