Which information is the most essential in the initial teaching session for the family of a young adult recently diagnosed with schizophrenia?

Correct Answer: D

Rationale: The correct answer is D because informing the family about the potential effectiveness of medication in treating the distressing symptoms of schizophrenia is crucial. This information provides hope and encourages the family to support the individual in seeking appropriate treatment. Understanding that treatment is available can alleviate anxiety and promote acceptance. Choices A, B, and C are incorrect because while they provide valuable information, they are not as essential in the initial teaching session as knowing that treatment can help manage the symptoms.

Correct Answer: C

Rationale: The correct answer is C: Take the client's blood pressure. Before administering chlorpromazine, it is important to assess the client's blood pressure as the medication can cause hypotension as a side effect. Monitoring blood pressure helps to ensure the client's safety and prevents potential complications. Assessing skin color and sclera (A) may be important for other assessments but not specifically related to chlorpromazine administration. Assessing the radial pulse (B) is important for monitoring cardiovascular status but may not be directly impacted by chlorpromazine. Asking the client to void (D) is not directly related to assessing for potential side effects of chlorpromazine.

Correct Answer: C

Rationale: The correct answer is C: Orientation. The nurse is assessing the client's awareness of time, place, and person, which are key components of orientation. By asking about the day, date, month, year, and location, the nurse is evaluating the client's cognitive function and ability to understand their surroundings. Confabulation (A) is the spontaneous creation of false memories, not relevant in this scenario. Delirium (B) is an acute state of confusion with rapid onset, not a specific assessment like orientation. Perseveration (D) is the repetition of a particular response, also not relevant to the assessment of orientation.

Correct Answer: B

Rationale: The correct answer is B: Development of autonomy within the family. Differentiation in family systems theory refers to the ability of individuals to maintain their own sense of self while being emotionally connected to family members. This process involves developing autonomy, where family members can express their own thoughts, feelings, and values independently. This is crucial for healthy family dynamics and individual growth. Incorrect Options: A: Cooperative action among members of the family - While cooperation is important in family systems, it does not specifically refer to the process of differentiation. C: Incongruent messages wherein the recipient is a victim - This option describes communication issues rather than differentiation. D: Maintenance of system continuity or equilibrium - This option refers to the overall stability of the family system, which is different from the process of differentiation.

Correct Answer: A

Rationale: The correct answer is A because it dismisses the client's feelings and concerns by invalidating them with a generic reassurance. It fails to acknowledge the client's emotions and can come across as patronizing. Choice B acknowledges the client's emotional state, while choice C observes a behavior without judgment. Choice D addresses the client's thoughts without dismissing them, making it a more empathetic response.