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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