A client voices concerns about becoming pregnant. The client reports her mother had a history of schizophrenia. The client is fearful of having a child with the same disorder. What is the best initial response by the nurse?
1. "Schizophrenia is a genetic disorder so you are right to be very concerned."
2. "Your family history does increase the risk factors but there are other variables to be considered."
3. "Schizophrenia should not be a significant concern for you."
4. "You should consider being tested before becoming pregnant."
2
Rationale 1: Telling the patient to be very concerned does not present the maximum amount of information.
Rationale 2: Schizophrenia does have genetic links. Individuals having a family history have a greater incidence of also displaying the disorder. There are, however, other variables such as environment that should be considered.
Rationale 3: Advising the client that it should not be a significant concern both downplays the actual risk and minimizes the client's concerns.
Rationale 4: There are no tests that can be run for this disease.
You might also like to view...
A client is scheduled for a laparoscopy to remove endometriosis tissue. Which response by the client alerts the nurse of the need for further teaching?
a. "The surgeon told me that carbon dioxide would be infused into my pelvic cavity." b. "There will be one or more small incisions in order to visualize all of the organs." c. "There will be some shoulder pain after the procedure that may last 48 hours." d. "I can return to jogging my 3-mile routine in a few days."
Whether in the classroom or clinical setting, the way a group functions, communicates, sets goals, and achieves objectives is related to which concept?
A) Cohesiveness B) Group dynamics C) Commitment D) Member behavior E) Power
A patient has been prescribed rasagiline (Azilect). Which foods should you teach the patient to avoid? (select all that apply)
a. Green leafy vegetables b. Aged cheeses c. Sour cream d. Fresh apples and pears e. Soy sauce f. Chicken and beef
A 13-year-old client with impulsive behaviors took his parents' car for a drive around town and crashed into a tree. The initial priority nursing intervention for this newly admitted client would be to:
A) Have him work off the cost of the car damages. B) Instruct parents on parenting skills. C) Call the police. D) Help client identify situations that require thoughtful interaction.