The Nurse Is Performing the Initial Assessment on a Client

question 33

Multiple Choice

The nurse is performing the initial assessment on a client admitted to the psychiatric unit.The client hears voices saying to cut the client's arms with razor blades until they bleed.What should the nurse assess this client for based on these initial findings?
Select all that apply.

• A)Family history of first-degree relative with schizophrenia
• B)Use of illegal substances
• C)Recent episodes of anxiety
• D)Family history of heart disease
• E)History of a dysfunctional family

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Definitions:

Testes

The primary male reproductive organs that produce sperm cells and male hormones, notably testosterone.

Ovaries

The female reproductive organs in animals and plants where ova or eggs are produced; in animals, they also produce hormones like estrogen and progesterone.

Endometrium

The inner lining of the uterus, which thickens during the menstrual cycle in preparation for possible implantation of an embryo.

Trophoblast

The outer cell layer of a late blastocyst, which in placental mammals gives rise to the chorion and to the fetal contribution to the placenta.