The sibling of a client with schizophrenia states to the nurse: I ...

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The sibling of a client with schizophrenia states to the nurse: I understand there is a genetic link to this disorder. Can you tell me anything more about that? The nurse should respond:
 
  1. As long as you are not identical twins, the occurrence in siblings is just a coincidence.
  2. You should have gene testing if you are concerned you will develop the disease.
  3. Recent research indicates schizophrenia is linked mainly to an excess in brain neurotransmitters, not genetics.
  4. Siblings of people with schizophrenia have a much higher incidence of the having the disease as well.

Question 2

The nurse is talking with a mentally ill client in the hospital and notes that the client begins to talk loudly and to pace. The initial response by the nurse would be to:
 
  1. take the client's hand to soothe the client.
  2. gather other staff members around the client.
  3. tell the client that the behavior is inappropriate.
  4. notify the physician for emergency drugs to sedate the client.

[ladyjames123]

Answer to Question 1

Answer: 4

1. Siblings having a ninefold-increased risk of having the disease.
2. Genetic testing can help identify susceptibility for the disease, but this option does not provide the best answer to the client's question.
3. The causes of schizophrenia are multifactorial, including imbalances of neurotransmitters, genetic components, structural brain changes, and environmental factors.
4. Siblings having a ninefold-increased risk of having the disease.

Answer to Question 2

Answer: 3

1. When a client is exhibiting the beginning of violent behavior, the nurse does not touch the client, as this could exacerbate the violence.
2. Adding other staff members will likely increase the client's violent behavior.
3. The nurse should tell the client the behavior is inappropriate. If that does not work, the nurse should try to distract the client and then offer medication.
4. Use of emergency drugs is an option if all else fails. It is not the first line of treatment.

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Thank you

[ladyjames123]

Happy to help you