Author Question: A nurse is caring for a patient with schizophrenia. Which accurately describes genetic and ... (Read 37 times)

j.rubin · **on:** Jul 19, 2018

A nurse is caring for a patient with schizophrenia. Which accurately describes genetic and environmental causes of schizophrenia?

1. One single gene is responsible for producing schizophrenia.
2. The chance of both monozygotic twins having schizophrenia is 100.
3. Environmental factors do not affect the risk of developing schizophrenia.
4. First-degree relatives have an increased risk of developing schizophrenia.

Question 2

The nurse caring for a patient with bipolar disorder understands that which is a priority consideration when planning patient care goals?

1. Establishing a therapeutic alliance
2. Improving mood symptoms through psychotherapy
3. Educating patients about the trajectory of improvement
4. Determining the therapeutic efficacy of the patient's lithium therapy

TINA · **Reply #1 on:** Jul 19, 2018

Answer to Question 1

Answer: 4
Explanation: An individual's risk of developing schizophrenia spectrum disorder risk is higher than the general population by approximately 12 times if the disorder is present in one biological parent and by 40 times if present in both biological parents. One single gene is not responsible for producing schizophrenia. There is strong evidence that environmental factors do affect the risk of developing schizophrenia. The chance of monozygotic (identical) twins both having schizophrenia is 25 to 39, not 100.

Answer to Question 2

Answer: 1
Explanation: Monitoring lithium therapy, educating patients about their disorder, and improving mood symptoms are important nursing considerations for patients with bipolar disorder, but they are difficult to achieve without a successful therapeutic alliance. Establishing a therapeutic alliance increases the likelihood that the patient will participate in interventions and adhere to the plan of care.