The mother of a 20-year-old man diagnosed with paranoid schizophrenia is upset by the fact that her child tried to attack her during her daily visit. What is the most appropriate support the nurse can give her after this incident?
a. "Your child is working through relationship issues with you and does not know how to express them."
b. "You should stop coming for a while, as your visits upset your child."
c. "Your child's illness is due to a loss of contact with reality, and not directed to you as his mother."
d. "You must make him realize that his behavior toward you is inappropriate."
C
People with paranoid schizophrenia believe someone or something is out to get them. Violent behaviors are common. In addition, a primary characteristic of any psychotic disorder is an inability to recognize reality. Due to this disconnect with reality, working through relationship issues and correcting behavior are not appropriate at this early point in treatment. Parents suffer the grief of losing a normal child and then must cope with the stigma of having a child who is "mentally ill."
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