A nurse is collecting data from a client who has been admitted with manifestations of paranoia. Which of the following findings should the nurse identify as a risk factor for schizophrenia?

The client's home has lead paint on the walls.

The client's twin sibling has schizophrenia.

The client is opioid dependent.

The client's mother used tobacco products during pregnancy.

Answer and Explanation

The Correct Answer is B

Choice A reason: Lead paint exposure is associated with various health issues, particularly in children, but it is not a recognized risk factor for schizophrenia. Lead poisoning can cause cognitive and behavioral problems, but it does not directly increase the risk of developing schizophrenia.

Choice B reason: Having a family member, especially a twin sibling, with schizophrenia significantly increases the risk of developing the condition. Genetics play a crucial role in the development of schizophrenia, and individuals with a first-degree relative who has schizophrenia are at a higher risk of developing the disorder.

Choice C reason: Opioid dependence is associated with various mental health issues, including depression and anxiety, but it is not a direct risk factor for schizophrenia. Substance abuse can exacerbate existing mental health conditions, but it does not inherently cause schizophrenia.

Choice D reason: While maternal tobacco use during pregnancy is linked to various adverse outcomes, including low birth weight and developmental issues, it is not specifically identified as a risk factor for schizophrenia. The relationship between prenatal tobacco exposure and schizophrenia is not well-established.

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Correct Answer is B

Explanation

Choice A reason: While this statement might be true, it can come across as dismissive or invalidating the adolescent's feelings. The nurse's goal should be to listen and understand the adolescent's perspective, rather than making assumptions about the parents' intentions.

Choice B reason: This response opens up a conversation about the adolescent's feelings and experiences regarding their relationship with their parents. It shows empathy and a willingness to understand the adolescent's perspective, which can help build trust and rapport. By exploring the relationship, the nurse can gather more information and provide appropriate support and guidance.

Choice C reason: Asking "Why do you think your parents are hard to please?" can come across as confrontational or judgmental. It might make the adolescent feel defensive or misunderstood. The nurse should focus on creating a supportive environment for the adolescent to express their feelings without feeling judged.

Choice D reason: Telling the adolescent that "Things will get better as time goes on" can seem dismissive and may not address the immediate concerns and feelings the adolescent is experiencing. It is important for the nurse to validate the adolescent's feelings and offer support and understanding in the present moment.

A. Hypokalemia B. Leukopenia C. Decreased serum amylase D. Hematuria

Correct Answer is A

Explanation

Choice A reason: Hypokalemia, or low potassium levels in the blood, is a common finding in individuals with bulimia nervosa, especially those who engage in frequent vomiting or use laxatives. Purging behaviors can lead to significant electrolyte imbalances, including potassium depletion, which can cause muscle weakness, cramps, and cardiac arrhythmias. Monitoring potassium levels is crucial in managing the health of individuals with bulimia nervosa.

Choice B reason: Leukopenia, or a low white blood cell count, is not typically associated with bulimia nervosa. While malnutrition and other complications of eating disorders can affect the immune system, leukopenia is more commonly linked to conditions such as infections, autoimmune disorders, or certain medications.

Choice C reason: Decreased serum amylase is not a typical finding in bulimia nervosa. In fact, elevated serum amylase levels are more commonly observed due to the stress on the salivary glands from frequent vomiting. Hyperamylasemia can be an indicator of purging behaviors and should be monitored in individuals with bulimia nervosa.

Choice D reason: Hematuria, or the presence of blood in the urine, is not commonly associated with bulimia nervosa. While hematuria can result from various conditions, including urinary tract infections, kidney stones, or other renal issues, it is not a typical finding in individuals with bulimia nervosa.

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A nurse is collecting data from a client who has been admitted with manifestations of paranoia. Which of the following findings should the nurse identify as a risk factor for schizophrenia?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is assisting in the care of an adolescent who states, "I hate living at home. It's impossible to please my parents." Which of the following responses should the nurse make?

Correct Answer is B

Explanation

A nurse is collecting data for a health history from a client who has bulimia nervosa. Which of the following laboratory findings should the nurse expect?

Correct Answer is A

Explanation

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