The nurse admits a patient newly diagnosed with schizophrenia to the inpatient mental health unit. What is the priority reason for why the nurse includes the family when collecting the nursing history?
A) The patient may not be able to provide a coherent history.
B) The patient may not be able to speak due to reduced level of consciousness.
C) The family will feel better if they are included in the process.
D) The patient will be less anxious if the family listens while he answers questions.
A
Feedback:
Schizophrenia, the most common psychosis, is characterized by delusions, hallucinations, and inappropriate responses to stimuli. As a result, the patient may be unable to provide a coherent history and may be unaware of his behaviors considered dysfunctional. There is no reason to suspect the patient cannot speak and reducing anxiety is not the priority rationale for including family. While family is included in treatment, the goal is to treat the patient and not make the family feel better if actions were not in the patient's best interests.
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