Author Question: The nurse is performing the initial assessment on a patient admitted to the psychiatric unit. The ... (Read 122 times)

BrownTown3 · **on:** Jul 23, 2018

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

1. family history of first-degree relative with schizophrenia.
2. use of illegal substances.
3. recent episodes of anxiety.
4. fFamily history of heart disease.
5. hHistory of a dysfunctional family.

Question 2

The nurse suspects a patient is demonstrating negative symptoms of schizophrenia and will be a challenge to treat because of which barriers?

1. The patient feels that the symptoms are normal.
2. Family members feel the patient is going through a period of depression.
3. The patient is suspicious of the motives of the health care provider.
4. Family members have labeled the patient as lazy.
5. The patient is indifferent to obtaining help.

FergA · **Reply #1 on:** Jul 23, 2018

Answer to Question 1

Correct Answer: 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.

Answer to Question 2

Correct Answer: 2,4,5
Rationale 1: Patients with a psychosis rather than the negative symptoms of schizophrenia are often unaware that their bizarre behavior is not normal.
Rationale 2: Negative symptoms of schizophrenia are often mistaken for depression.
Rationale 3: Suspicion that someone is trying to do harm is characteristic of delusions.
Rationale 4: Negative symptoms of schizophrenia are often mistaken for laziness.
Rationale 5: Negative symptoms are characteristic of the indifferent personality typical of many patients with schizophrenia.