Author Question: The parent of a child who has schizophrenia tearfully asks a nurse, What could I have done ... (Read 59 times)

chandani · **on:** Jul 19, 2018

The parent of a child who has schizophrenia tearfully asks a nurse, What could I have done differently to prevent this illness? Select the nurse's most caring response.

a. Although schizophrenia is caused by impaired family relationships, try not to feel guilty. No one can predict how a child will respond to parental guidance.
b. Most of the damage is done, but there is still hope. Changing your parenting style can help your child learn to cope more effectively with the environment.
c. Schizophrenia is a biological illness with similarities to diabetes and heart disease. You are not to blame for your child's illness.
d. Most mental illnesses result from genetic inheritance. Your genes are more at fault than your parenting.

Question 2

A nurse assesses that a patient is suspicious and frequently manipulates others. Using the Freudian theory, these traits are related to which psychosexual stage?

a. Oral
b. Anal
c. Phallic
d. Genital

parshano · **Reply #1 on:** Jul 19, 2018

Answer to Question 1

ANS: C
Patients and families need reassurance that the major mental disorders are biological in origin and are not the fault of parents. Knowing the biological nature of the disorder relieves feelings of guilt over being responsible for the illness. The incorrect responses are neither wholly accurate nor reassuring; they fall short of being reassuring and place the burden of having faulty genes on the shoulders of the parents.

Answer to Question 2

ANS: A
According to Freud, each of the behaviors mentioned develops as the result of attitudes formed during the oral stage, when an infant first learns to relate to the environment. Anal stage traits include stinginess, stubbornness, orderliness, or their opposites. Phallic stage traits include flirtatiousness, pride, vanity, difficulty with authority figures, and difficulties with sexual identity. Genital stage traits include the ability to form satisfying sexual and emotional relationships with members of the opposite sex, emancipation from parents, and a strong sense of personal identity.