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Choice D is wrong because it is based on false and outdated stereotypes.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

Explanation

Orient the client to the arrangement of the room to promote independence. This strategy helps the client who is blind to navigate the environment safely and confidently. It also shows respect for the client’s autonomy and dignity.

Choice A is wrong because speaking loudly is not necessary for a client who is blind, unless they also have hearing impairment. Speaking loudly may imply that the client is less intelligent or capable, which is not true.

Choice B is wrong because touching the client prior to speaking may startle or frighten them. It is better to identify oneself verbally and ask for permission before touching the client.

Choice D is wrong because keeping the bed in the highest position may increase the risk of injury if the client tries to get out of bed alone. It also restricts the client’s mobility and independence, which may affect their self-esteem and quality of life.

A. A slice of fruit pie. B. One cup of gelatin. C. A bran muffin. D. One plain doughnut.

Correct Answer is B

Explanation

This is because gelatin is a low-fat dessert that contains only 0.1 grams of fat per cup.

It is also low in calories and can be flavored with fruit juice or fresh fruits for added nutrition.

Choice A is wrong because a slice of fruit pie contains about 14 grams of fat per slice, which is high for a low-fat diet.

Fruit pies also have added sugar and refined flour that can increase the calorie intake.

Choice C is wrong because a bran muffin contains about 9 grams of fat per muffin, which is also high for a low-fat diet.

Bran muffins may have some fiber benefits, but they also have added sugar and oil that can make them less healthy.

Choice D is wrong because one plain doughnut contains about 11 grams of fat per doughnut, which is also high for a low-fat diet.

Doughnuts are deep-fried and have a lot of sugar and refined flour that can contribute to weight gain and health problems.

Some other examples of low-fat dessert choices are sorbet, fruit salad, yogurt, pudding, and angel food cake.

These desserts are lower in fat and calories than pies, muffins, and doughnuts, and can satisfy a sweet tooth without compromising the dietary instructions.

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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

Which strategy should a nurse include when communicating with a client who is blind?

Correct Answer is C

Explanation

Which dessert choice by a client who is prescribed a low-fat diet indicates the client understands the dietary instructions?

Correct Answer is B

Explanation

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