The Nurse Is Performing the Initial Assessment on a Client

question 15

Multiple Choice

The nurse is performing the initial assessment on a client admitted to the psychiatric unit.The client hears voices that tell him that he must cut the skin on his arms with razor blades until he bleeds from the cuts.The nurse should assess for: (Select all that apply.)

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

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