The mother of a 20-year-old woman recently diagnosed with paranoid schizophrenia asks the nurse what causes schizophrenia. The nurse recognizes which of the following are implicated in the etiology of schizophrenia?

A. As depression lifts, physical energy becomes available to carry out suicide.
Depressed individuals who begin to experience improvement in their mood as a result of antidepressant therapy may paradoxically become more at risk for suicide. This is because as their depressive symptoms lift, they may gain the physical and emotional energy needed to carry out suicidal thoughts or plans. It is essential for healthcare providers to closely monitor these individuals during the early stages of treatment when this risk is highest. This rationale highlights the importance of vigilance and monitoring to ensure the client's safety.
B. Suicide may be precipitated by a variety of internal and external events, which is a general statement about the triggers of suicidal thoughts or actions.
C. Suicidal clients have difficulty using social supports, which emphasizes the need for supportive interventions but does not specifically address the increased risk during antidepressant therapy.
D. Suicide is an impulsive act that has no warning, which is not entirely accurate. Many individuals who experience suicidal thoughts or behaviors do give warning signs or signals that can be recognized and addressed by healthcare providers and others in their support network.

A. "Place metal utensils on the client's meal tray" - This action is not appropriate when a client has a recent suicide attempt, as it poses a potential safety risk. Sharp objects like metal utensils should be avoided in such cases.
B. "Assign the client to a private room" - While privacy can be important, it's essential to ensure that the client's safety is a top priority. Placing the client in a private room might hinder the ability to closely monitor the client's safety.
C. "Inspect the client's personal belongings" - This is the correct choice. After a suicide attempt, it's essential to inspect the client's personal belongings to ensure there are no items that could be used to harm themselves. This helps in maintaining the client's safety.
D. "Tuck bedcovers over clients' hands and arms" - Tucking in the bedcovers in this manner is not directly related to ensuring the client's safety after a suicide attempt. The focus should be on assessing and removing potential hazards from the client's environment.

In summary, option C is the most appropriate action as it prioritizes the client's safety by inspecting personal belongings for potentially harmful items.