Answer to Question 1
A
Up to 60 of males with schizophrenia attempt suicide, and 10 of patients with schizophrenia die from suicide. The risk is highest in the early years of the illness. Further assessment is indicated, but this statement does not clearly refute the nurse's mistaken belief that psychosis is associated with lower suicide risk. The scenario does not mention substance use; although it would further increase suicide risk, even without substance abuse, persons with schizophrenia are at higher risk. Persons with schizophrenia can be disorganized and delusional, but delusions and hallucinations (especially command hallucinations) can increase suicide risk.
Answer to Question 2
D
Loss of a child is among the highest-risk situations for maladaptive grieving. The parents who throw flowers on the lake on each anniversary date of the accident are openly expressing their feelings. The other behaviors indicate the parents are isolating themselves and/or denying their feelings.
Patient education
Patient wearing an abularm
Nurse palpating the patient's brachial artery
Patient teaching: hair and scalp assessment
Smoking and Schizophrenia
Assisting the patient to transfer from the bed or examining table to a wheelchair.