Author Question: The wife of a client with paranoid schizophrenia tells the nurse, I've learned that my husband has ... (Read 34 times)

joe · **on:** Jul 19, 2018

The wife of a client with paranoid schizophrenia tells the nurse, I've learned that my husband has several close relatives with the same disorder.

Does this problem run in families? The response based on recent discoveries in the field of ge-netics would be:
1. It's odd, but it's just a coincidence.
2. Research has identified a gene linked to schizophrenia.
3. Are you concerned that your children may develop the disorder?
4. Only bipolar disorder has been identified to have a genetic component.

Question 2

The nurse is discouraged because his plan to reduce negative symptoms of schizophrenia (apathy, avolition, inattentiveness, poor socialization, poor eye contact and flat affect, etc.) in a client is not working.

The mentor's remark that helps place the problem in perspective is:
1. You aren't responsible for the behavior of any other person.
2. Clients can be perverse and cling to symptoms despite our efforts.
3. Negative symptoms have been associated with prefrontal cortical pathology.
4. Negative symptoms can be improved by manipulating psychosocial and envi-ronmental factors. The problem is finding the right combination.

raili21 · **Reply #1 on:** Jul 19, 2018

Answer to Question 1

ANS: 2
Option 2 is a factual statement that addresses genetic theory. Options1 and 4 are untrue. Option 3 does not address the wife's spoken question.

Answer to Question 2

ANS: 3
Nurse frustration can be alleviated by helping the nurse realize that negative symptoms may be the result of actual brain dysfunction, rather than psychologically determined behaviors; thus op-tions 1, 2, and 4 are not helpful.