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 which findings? Note: Credit will be given only if all correct choices and no incorrect choices are selected. 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
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 has no connection to the development of schizophrenia. A family history of heart disease has no connection to the development of schizophrenia.
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What is your expected physical examination finding, based on this description?
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a. Advanced nursing practice education and skills b. Compassionate, skilled, dedicated touch c. Offered a prayer with the daughter and mother d. Willingness to do whatever was needed by mother or daughter
The client has a pH of 7.6. Which statements are appropriate based on this pH level?(Select all that apply.)
1. The client should be monitored for nervousness. 2. The client is alkalotic. 3. The client should be monitored for drowsiness. 4. The client is acidotic. 5. The client should be monitored for seizures.