A new nurse mentions to a peer, My patient has just been ...

[DelorasTo]

A new nurse mentions to a peer, My patient has just been diagnosed with schizophrenia. At least I will not have to worry about him being suicidal.. The most helpful response by the peer would be:
 
  a. People with schizophrenia are at high risk, especially early in their illness..
  b. You will need to assess him further, as anyone can commit suicide..
  c. Suicide is a risk for any patient with schizophrenia who uses alcohol or drugs..
  d. Yes, they are too disorganized and delusional to be able to hurt themselves..

Question 2

A child drowned while swimming in a local lake 2 years ago. Which behavior indicates the child's parents are mourning in an effective way? The parents who:
 
  a. forbid their other children from going swimming.
  b. keep a place set for the dead child at the family dinner table.
  c. sealed their child's room exactly as the child left it 2 years ago.
  d. throw flowers on the lake at each anniversary date of the accident.

[juicepod]

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.

[DelorasTo]

Thank you

[juicepod]

No problemo