Which nursing intervention is particularly well chosen for addressing a population at high risk for developing schizophrenia?

Correct Answer: A

Rationale: The correct answer is A because screening a group of males between the ages of 15 and 25 for early symptoms is a well-chosen intervention for addressing a population at high risk for developing schizophrenia. Schizophrenia often manifests in late adolescence and early adulthood, making this age group particularly vulnerable. Early detection and intervention can lead to better outcomes. Choice B is incorrect because it focuses on females with substance use issues, which is not specifically related to the high-risk population for schizophrenia. Choice C is not as well suited because it targets an older age group not typically associated with the onset of schizophrenia. Choice D is also incorrect because it focuses on educating parents of developmentally delayed children, which is not directly related to addressing the high-risk population for schizophrenia.

Correct Answer: C

Rationale: The correct answer is C because it emphasizes the importance of informing the primary care provider about any supplements. This ensures proper monitoring for potential interactions and side effects. Choice A is incorrect as herbal supplements are not as strictly regulated as prescription drugs. Choice B is incorrect as natural does not always mean safe. Choice D is incorrect as marketing claims do not guarantee safety. Overall, choice C prioritizes patient safety and collaboration with healthcare providers.

Correct Answer: B

Rationale: The correct answer is B because the anti-psychiatry movement aims to enhance transparency and client involvement in treatment decisions. This aligns with their belief in empowering individuals and prioritizing their autonomy in their own mental health care. By involving clients in treatment decisions and promoting transparency, the movement seeks to challenge traditional hierarchical structures in psychiatry. Choice A is incorrect as the anti-psychiatry movement generally opposes involuntary treatments due to ethical concerns. Choice C is incorrect as the movement actually emphasizes the importance of social determinants of mental health and advocates for addressing these factors. Choice D is incorrect as the movement does not aim to eliminate all medications, but rather questions the overreliance on medication as the primary form of treatment.

Correct Answer: B

Rationale: The correct answer is B: glutamate. Glutamate is the primary excitatory neurotransmitter in the brain and plays a crucial role in the pathophysiology of schizophrenia. Research has shown abnormalities in glutamatergic neurotransmission in individuals with schizophrenia, including NMDA receptor hypofunction. GABA (A) is an inhibitory neurotransmitter and is not directly implicated in schizophrenia. Norepinephrine (C) and acetylcholine (D) are not the primary neurotransmitters associated with schizophrenia.

Correct Answer: A

Rationale: The correct answer is A: In the pre-interaction phase, because the student is likely to be suspicious of psychiatric clients. During the pre-interaction phase, the nurse forms initial impressions and feelings about the client. The nursing student's fears related to the first clinical experience in a psychiatric setting are likely to manifest in this phase as they may have misconceptions or stereotypes about psychiatric clients, leading to feelings of fear or suspicion. This phase sets the tone for the interaction and can influence the student's approach and behavior during the clinical experience. Summary of other choices: B: In the orientation phase, the focus is on establishing trust and clarifying roles, not on the student's fears. C: In the working phase, the student should be actively engaging in therapeutic interventions, not focused on past experiences. D: In the termination phase, the student should be reflecting on the outcomes of the therapeutic relationship, not on fears about their ability to make a difference.