The mother of a client diagnosed with schizophrenia is tearful and wonders aloud if she passed the illness on to her child, and if her grandchild will also develop the disease. The nurse should reply with which statement?
1. "I see you are feeling upset. Do you want to talk?"
2. "Schizophrenia does have a strong genetic link, but at present there is no specific genetic test for it."
3. "Your grandchild has nothing to worry about."
4. "You and your child should volunteer for genetic research."
2
Rationale: Schizophrenia has an 80% chance of heritability. At present there is no specific genetic test available. Clients and families should be presented with information about the benefits of genetic research for future generations of people with schizophrenia. Telling the client there is nothing to worry about is false reassurance and is not therapeutic. Acknowledging the client's distress is appropriate, but the nurse must address the client's concerns directly.
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A. Suffer from alcohol or drug abuse or be mentally ill. B. Be extremely violent and dangerous to be around. C. Need little medical care because they are eligible for free care in public health clinics. D. Primarily suffer from acute illnesses resulting from exposure to weather extremes.
Laxatives with magnesium salts are contraindicated in patients with:
1. hemorrhoids. 2. proctitis. 3. autoimmune disorders. 4. renal dysfunction.
A client tells the nurse they have been taking aspirin to treat muscle pain. Based on this statement, which findings in the client's history should the nurse be concerned about? Select all that apply.
A. Myocardial infarction at age 61 B. Helicobacter pylori infection treatment last month C. No influenza vaccine in last 2 years D. Mild hypertension E. History of migraine headaches
The ED nurse managing care for a client who has ingested PCP should create an environment for the client that is:
1. Challenging and educational 2. Active and stimulating 3. Simplified and safe 4. Like any room in the ED