The mother of a client newly diagnosed with schizophrenia is a nurse. She unhappily tells the nurse on the unit, I've tried to be a good mother, but my daughter still developed schizophrenia.
When I was in school, we were taught that it was the mother's fault if a child became schizo-phrenic. I wish I knew what I did wrong. The response that would help the mother evaluate models explaining schizophrenia would be:
1. I can see how you would be upset over this turn of events.
2. New findings suggest this disorder is biologic in nature.
3. Don't be so hard on yourself; your daughter needs you to be strong.
4. It's difficult to see that double-bind communication produces stress for the child at the time it's occurring.
Question 2
A mother discusses her concerns about genetic transmission of schizophrenia with the nurse say-ing, My son is a fraternal twin. He has been diagnosed with schizophrenia. Will my other son develop schizophrenia, too?
The response that is both sensitive and shows understanding of the genetic component is:
1. You poor woman I wish I could tell you he will be free of the disorder.
2. Studies show that 50 of twins develop schizophrenia when it is present in the other twin.
3. No one can say what will happen, so we will hope for the best for you and your sons.
4. In fraternal twins, the chance of the other twin developing the disorder is quite small.
NURSE
Alcoholism, Schizophrenia, and Prefrontal Gray Matter
MRI Scans of the Brains of Twins Discordant for Schizophrenia
Infant monkey is shown with cloth mother from Harlow’s studies.
Testing patellar reflex, client in a sitting position
Client positioned and draped