The nurse is performing the initial assessment on a patient admitted to the psychiatric unit. The patient hears voices saying to cut the patient's arms with razor blades until they bleed. The nurse should assess for
1. family history of first-degree relative with schizophrenia.
2. use of illegal substances.
3. recent episodes of anxiety.
4. fFamily history of heart disease.
5. hHistory of a dysfunctional family.
Correct Answer: 1,2,5
Rationale 1: A person has a 5Â?10 times greater risk of getting schizophrenia if a first-degree relative has the disorder.
Rationale 2: Use of drugs such as cocaine can produce hallucinations or paranoia.
Rationale 3: A history of anxiety has no connection to the development of schizophrenia.
Rationale 4: A family history of heart disease has no connection to the development of schizophrenia.
Rationale 5: Family dynamics can affect coping skills, which can influence the onset of schizophrenia.
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