The nurse is performing the initial assessment on a client admitted to the psychiatric unit. The client hears voices saying to cut the client's arms with razor blades until they bleed
What should the nurse assess this client for based on these initial findings?
Standard Text: Select all that apply.
1. Family history of first-degree relative with schizophrenia
2. Use of illegal substances
3. Recent episodes of anxiety
4. Family history of heart disease
5. History of a dysfunctional family
Correct Answer: 1,2,5
Rationale 1: A person has a 5–10 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.
Global Rationale: A person has a 5–10 times greater risk of getting schizophrenia if a first-degree relative has the disorder. Use of drugs such as cocaine can produce hallucinations or paranoia. Family dynamics can affect coping skills, which can influence the onset of schizophrenia. A history of anxiety and a family history of heart disease have no connection to the development of schizophrenia.
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The patient, age 58, is diagnosed with osteoporosis after densitometry testing
She has been menopausal for 5 years and has been concerned about her risk for osteoporosis because her mother has osteoporosis. In teaching her about her osteoporosis, which information does the nurse include? a. Even with a family history of osteoporosis, the calcium loss from bones can be slowed by increased calcium intake and exercise. b. Estrogen replacement therapy must be started to prevent rapid progression of her osteoporosis. c. With a family history of osteoporosis, there is no way to prevent or slow bone reabsorption. d. Continuous, low-dose corticosteroid treatment is effective in stopping the course of osteoporosis.
The clinical nurse specialist (CNS) in gerontology differs from the GNP in that:
a) the GNP usually works in a collaborative practice with a physician b) the CNS has less education than the GNP c) the GNP has a doctorate d) the CNS does less consulting than the GNP
According to Travelbee, dehumanization occurs when
A. The ill person is left alone to find meaning to his illness experience. B. The term patient is used to label or categorize a person. C. One treats the ill person with an emotional detachment. D. All of the above
An instructor is explaining the functions, sources, and intake recommendations for vitamins. The instructor realizes additional instruction is required when a student says:
1. "It is vital to consume an adequate amount of most vitamins in our daily diet or through supplements because the body cannot manufacture many of them." 2. "With exposure of the skin to sunlight 15 minutes twice per week, the body can synthesize a significant amount of the needed vitamin D." 3. "Fat-soluble vitamins serve as coenzymes for metabolism throughout the body and help to stimulate appetite, maintain healthy nervous and integumentary systems, and assist with growth." 4. "Because fat-soluble vitamins can be stored, they can become toxic when consumed in excessively large doses over a long period of time."