Author Question: The family of a patient with type I schizophrenia asks, Did this illness occur because of all the ... (Read 29 times)

KWilfred · **on:** Jul 19, 2018

The family of a patient with type I schizophrenia asks, Did this illness occur because of all the chaos in our family? Select the nurse's best response.

a. It is likely that the chaos in your family caused the disorder. It is very important for every family member to keep calm.
b. Stress in your family may make the disorder more difficult to manage, but it is not the cause.
c. Too little is known about the cause of this illness for anyone to speculate.
d. That question would be best answered by the psychiatrist.

Question 2

When a patient experiencing a first episode of type I schizophrenia is hospitalized, the nurse can expect to administer

a. a typical antipsychotic drug.
b. an atypical antipsychotic drug.
c. a mood-stabilizing anticonvulsant.
d. a selective serotonin reuptake inhibitor.

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

Answer to Question 1

B
The concept of disordered family interaction as the cause of schizophrenia is largely outdated. There is more reliance on the dopamine hypothesis or the stress-vulnerability model at present. Two options are dismissive, and the other suggests that the nurse is not qualified to give information.

Answer to Question 2

A
Delusions, hallucinations, and other symptoms of type I schizophrenia usually respond to the typical antipsychotic medications. Positive symptoms are considered to be the result of a subcortical dopaminergic process. The typical antipsychotics are dopamine blockers.