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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.”.

Answer and Explanation

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Choice D is wrong because it is based on false and outdated stereotypes.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.

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Correct Answer is D

Explanation

The client with a labored respiratory rate of 28 should be seen first because this indicates respiratory distress, which is a life-threatening condition that requires immediate intervention. Respiratory rate is one of the vital signs that are used to assess the severity of a patient’s condition and to triage them accordingly. A normal respiratory rate for an adult is 12 to 20 breaths per minute.

Choice A is wrong because a large laceration on the left scapula is not as urgent as respiratory distress.

A laceration is a wound that involves a cut or tear in the skin, which may cause bleeding, pain, and infection. However, it can be managed with wound care and suturing in the urgent care center.

Choice B is wrong because a compound fracture of the right tibia is not as urgent as respiratory distress.

A compound fracture is a fracture that breaks through the skin, which may cause bleeding, pain, infection, and nerve or blood vessel damage. However, it can be stabilized with splinting and dressing in the urgent care center before transferring to a hospital for further treatment.

Choice C is wrong because being unable to breastfeed a 4 week old is not as urgent as respiratory distress.

Breastfeeding difficulties may be caused by various factors, such as poor latch, low milk supply, sore nipples, or mastitis. However, they can be managed with education, support, and medication in the urgent care center.

A. Call the Sexual Nurse Examiner. B. Assess vital signs. C. Call her parents to ask for permission to treat. D. Contact Security in case the perpetrator arrives.

Correct Answer is B

Explanation

The nurse should prioritize the physical safety and stability of the patient who has been raped and stabbed.

Assessing vital signs is the first step in determining the patient’s condition and identifying any life-threatening injuries that need immediate intervention.

Choice A is wrong because calling the Sexual Nurse Examiner is not the first action to take.

The Sexual Nurse Examiner is a specially trained nurse who can perform a forensic examination and collect evidence from the patient, but this should be done after ensuring the patient’s physical safety and obtaining consent.

Choice C is wrong because calling her parents to ask for permission to treat her is not necessary or appropriate.

The patient is an adult who can consent to her own treatment unless she is incapacitated or mentally incompetent.

Calling her parents without her permission may violate her privacy and autonomy.

Choice D is wrong because contacting Security in case the perpetrator arrives is not the most urgent action to take.

The nurse should focus on the patient’s needs and not assume that the perpetrator will follow her to the hospital.

Security measures can be taken later if needed.

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A client newly diagnosed with schizophrenia asks the nurse “Will I pass this disease on to my children?” What is the best response?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

When evaluating clients in the urgent care center, which client should be seen first? The client:.

Correct Answer is D

Explanation

A young woman arrives to the Emergency Department and reports that she was raped and stabbed. What should the nurse do first?

Correct Answer is B

Explanation

A client has lorazepam prescribed before surgery and refuses the injection. If the nurse administers the scheduled injection despite the client’s lack of consent, which term best describes the nurse’s action?

Which of these assessment findings should a nurse record as subjective?

A nurse receives report that a client has been pacing the hallway continuously for almost twenty-four hours and talking excessively. Which action is the priority?

A nurse assessment of a client diagnosed with an acute loss of consciousness reveals a Glasgow Coma Scale (GCS) of 6. Which nursing diagnosis is the priority?

A community health nurse is teaching a group of older adults about risk factors for a hip fracture. What statements indicate a correct understanding of these risk factors? Select all that apply.

A nurse identifies that a medication is ordered for the client as twice the regular dosage. What action should the nurse take?

A client says to a nurse, “I’m afraid of radiation therapy.” The nurse replies, “Radiation kills the cancer cells.” Which statement best describes the nurse?

Which instructions should a nurse give to a client prior to obtaining a throat culture?