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Exam NCLEX-RN topic 6 question 45 discussion

Actual exam question from Test Prep's NCLEX-RN
Question #: 45
Topic #: 6
[All NCLEX-RN Questions]

The nurse is trying to help a mother understand what is happening with her son who has recently been diagnosed with paranoid schizophrenia. At present, he is experiencing hallucinations and delusions of persecution and suffers from poor hygiene. The nurse can best help her understand her sons condition by which of the following statements?

  • A. "Sometimes these symptoms are caused by an overstimulation of a chemical called dopamine in the brain."
  • B. "Has anyone in your family ever had schizophrenia?"
  • C. "If your son has a twin, he probably will eventually develop schizophrenia, too."
  • D. "Some of his symptoms may be a result of his lack of a strong mother-child bonding relationship."
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Suggested Answer: A 🗳️
(A) The most plausible theory to date is that dopamine causes an overstimulation in the brain, which results in the psychotic symptoms. (B) This statement will only create anxiety in the mother, and the genetic theory is only one of the etiological factors. (C) This statement will cause the mother much alarm, and nothing was mentioned about any other child. (D) The motherchild relationship is one of the previous theories examined, but it is not one to be emphasized, thereby causing a lot of anxiety for the mother.

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