The nurse caring for a patient with schizophrenia spectrum ...

[erika]

The nurse caring for a patient with schizophrenia spectrum disorder will include which factors in the patient assessment? Select all that apply.
 
  1. Medical history
  2. Pain assessment
  3. Home safety check
  4. Suicide assessment
  5. Height and weight assessment

Question 2

The nurse is caring for a patient experiencing a relapse of a schizophrenia spectrum disorder. As the nurse considers the plan of care, which type of nursing intervention will the nurse give priority?
 
  1. Patient education
  2. Direct action
  3. Disease prevention
  4. Family involvement

[jonathanballen97]

Answer to Question 1

Answer: 1, 2, 4, 5
Explanation: The nurse caring for a patient with SSD will include the following as part of the nursing assessment: psychiatric and medical history, symptom description, precipitating factors, and a suicide/violence assessment. The nurse will also assess the patient's height and weight to determine body mass index (BMI) either as part of the baseline assessment or ongoing to compare against the patient's baseline. Home safety checks are not typically included in the assessment of the patient with SSDs.

Answer to Question 2

Answer: 2
Explanation: Patients experiencing a relapse of an SSD lack insight into their illness and its manifestations. Because of this, the nurse must implement direct and concrete actions and interventions. Patients experiencing acute relapse are not able to participate in education and disease prevention interventions due to a lack of insight. Family involvement is important to the patient's care; however, this is not the type of nursing intervention that will work best for a patient with schizophrenia who is experiencing relapse.