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Choice D is wrong because it is based on false and outdated stereotypes.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 A
Explanation
This is because a client with obstructive sleep apnea (OSA) may have periods of apnea lasting more than 10 seconds during sleep, which can lead to hypoxia and hypercapnia. These conditions can cause the client to be difficult to arouse and may indicate respiratory failure.
The nurse should take immediate action to stimulate the client, provide oxygen, and call for help.
Choice B is wrong because blood pressure 142/92 mmHg is not an emergency for a client with OSA. It is within the stage 1 hypertension range, which may be caused by OSA or other factors. The nurse should monitor the client’s blood pressure and encourage lifestyle modifications, such as weight loss, exercise, and dietary changes.
Choice C is wrong because apneic periods lasting more than 10 seconds are expected in a client with OSA. This is the criterion for diagnosing OSA during a sleep study. The nurse should educate the client about the use of continuous positive airway pressure (CPAP) or other treatments to prevent apnea and improve oxygenation during sleep.
Choice D is wrong because oxygen desaturation to 90% when asleep is not an emergency for a client with OSA. It is a common finding in OSA due to the intermittent obstruction of the upper airway. The nurse should ensure that the client has supplemental oxygen available and teach the client about the benefits of CPAP or other devices to maintain airway patency and oxygen saturation during sleep.
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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