A client newly diagnosed with schizophrenia asks the nurse “Will I pass this disease on to my children?” What is the best response?
“The risk of getting schizophrenia is low, and most people with a close relative with the condition will not develop it themselves.”.
“Schizophrenia is caused by genetic factors and your children will develop the disease ten times more often than the general public.”.
“There is a 50% chance that your child will be born with schizophrenia, so keep them out of crowded places and high anxiety situations.”.
“Females with schizophrenia are infertile and unable to carry a full-term pregnancy, but most of the people who are affected are male.”.
The Correct Answer is A
Schizophrenia is a disorder that has genetic risk factors, but is not caused by a single gene. The risk of developing schizophrenia is higher if you have a close relative with the disorder, but it is not certain. The risk varies depending on the degree of relatedness and the number of genes involved. The heritability of schizophrenia, which measures how much of the risk is due to genetic factors, is estimated to be between 60% to 80%.
Choice B is wrong because it exaggerates the risk of schizophrenia for children of affected parents. The risk is about 10%, not 10 times more than the general public.
Choice C is wrong because it gives a false and misleading statistic.
There is no 50% chance that a child will be born with schizophrenia, and there is no evidence that crowded places and high anxiety situations can cause the disorder.
Choice D is wrong because it is based on false and outdated stereotypes. Females with schizophrenia are not infertile and can carry a full-term pregnancy, but most of the people who are affected are male.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
What are the client’s cultural norms? This question is important because it helps to assess whether the client’s behavior is influenced by their cultural background and values, which may differ from those of the staff and other clients.
For example, some cultures may value privacy, modesty, or respect for elders more than others, and may avoid eye contact or social interaction as a sign of politeness or deference.
Understanding the client’s cultural norms can help to provide culturally sensitive and appropriate care.
Choice A is wrong because it assumes that the client’s behavior is caused by negative interactions with other clients, which may not be the case.
Choice B is wrong because it assumes that the client’s behavior is caused by hostile thoughts about others, which may not be the case.
Choice C is wrong because it assumes that the client’s behavior is caused by fear of others in the unit, which may not be the case.
These choices are not relevant to planning the client’s care and may reflect bias or stereotyping on the part of the staff.
Correct Answer is ["A","B"]
Explanation
A client with dehydration will have increased heart rate and decreased blood pressure due to the loss of fluid volume and the compensatory mechanisms to maintain cardiac output.
Choice C is wrong because dehydration does not cause increased temperature, but rather decreased temperature due to reduced blood flow to the skin.
Choice D is wrong because dehydration causes hyperactive muscle responses, such as muscle cramps, twitching, and tetany.
Choice E is wrong because dehydration can cause altered mental status, such as confusion, lethargy, or coma. Normal ranges for heart rate are 60-100 beats per minute, blood pressure is 120/80 mm Hg, and temperature is 36.5-37.5°C (97.7-99.5°F).
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