Author Question: A new nurse mentions to a peer My newest client has schizophrenia. At least I will not have to ... (Read 51 times)

tnt_battle · **on:** Jul 19, 2018

A new nurse mentions to a peer My newest client has schizophrenia. At least I will not have to
worry about him being suicidal.. The most helpful response by the peer would be

a. Suicide risk is high in schizophrenic clients, especially early in the course of the
illness..
b. Command hallucinations often prompt suicide among clients with
schizophrenia..
c. Suicide is a risk for any client with schizophrenia who uses alcohol or drugs..
d. You are correct in saying that schizophrenia does not increase risk for suicide..

Question 2

An unconscious client is brought to the emergency department, accompanied by a friend who is in
an obviously intoxicated state. The friend is unable to give any information regarding what caused
the client to lapse into unconsciousness.

The nurse can anticipate that the physician will order a
toxicological screening. This will require the nurse to
a. assist with passing a nasogastric tube to collect a sample of gastric contents.
b. obtain urine and blood samples in the presence of a witness.
c. conduct a complete neurological and psychological assessment.
d. prepare and administer a dose of naloxone and observe the client for 2 hours after
administration.

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

Answer to Question 1

A
Up to 10 of clients with schizophrenia die from suicide, usually related to depressive symptoms
occurring in the early years of the illness. Option B: Depressive symptoms are more related to
suicide among clients with schizophrenia than are command hallucinations. Option C: The scenario
does not mention substance use; thus the option has questionable relevance. Option D is an incorrect
statement.

Answer to Question 2

B
Toxicological screening usually requires 100 mL of urine and 20 mL of blood. The specimens are
obtained and labeled with a witness at hand to ensure correct identification and handling of the
specimen in the event the results become legal evidence. The drug screening provides vital
information needed for emergency treatment and possibly for long-term care planning. Option A:
Gastric contents are not tested. Option C: Neurological and psychological assessment will be
performed but are not specifically part of a toxicological screening. Option D: Naloxone would be
administered as an opiate antagonist, not as a routine part of a toxicological screen.