A nurse is caring for a 25-year-old client with paranoid schizophrenia. The client experiences command hallucinations to harm himself and others. The client believes that the voice of God told the client to jump from a second-floor bedroom window
The client's parents ask the nurse, "What makes our son hear the voices?" Which is the most appropriate response by the nurse?
A) "The 'voices' may be related to excessive dopamine levels in certain parts of the brain."
B) "Hallucinations are caused by medication interactions."
C) "Too little serotonin is to blame for delusions and hallucinations."
D) "Changes in hormones during puberty have been shown to cause the voices."
A
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Besides being important public health issues and motivating people to action, what purpose do the Healthy People 2020 objectives serve?
A. Measure the impact of prevention activities. B. Provide monetary worth to the nation. C. Replace other tools. D. Identify people needing secondary health services.
A middle-class family is talking with the nurse about the impact a seriously mental ill son has had on the family. Insurance has only partially covered treatment expenses, and the family has spent much of their savings to care for him
The patient's younger sister mentions she feels lost because her parents are so focused on her brother that it seems as though they have no time for her. The parents are concerned that when the siblings move out and they themselves become aged, there will be no one to care for the patient. Which response would be most helpful? a. Acknowledge their concerns, and indicate that you will consult with the treatment team about ways to bring the patient's symptoms under better control. b. Give them the names of financial advisors and banks that could help them save or borrow sufficient funds to leave a trust fund to care for their loved one. c. Refer them to crisis intervention services to learn ways to manage caregiver stress, and provide the titles of some helpful books for families of SMI persons. d. Discuss the benefits of participating in National Alliance on Mental Illness programs, and discuss ways to help the son become more independent.
A nurse assesses five newly hospitalized patients. Which patients have the highest suicide risk? Select all that apply
a. 82-year-old white male b. 17-year-old white female c. 22-year-old Hispanic male d. 19-year-old Native American male e. 39-year-old African American male
Which teaching should the nurse include for a client with peripheral arterial disease (PAD)?
A. Elevate your legs above heart level to prevent swelling. B. Inspect your legs daily for brownish discoloration around the ankle. C. Walk to the point of leg pain, then rest, resuming when pain stops. D. Apply a heating pad to the legs if they feel cold.