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A 16-year-old girl is admitted for her first psychotic break. Her parents feel very guilty. What is your best nursing response?

1) No one really knows the cause of schizophrenia. It is not your fault and is not due to anything you did in the past. It is important to understand this, to support your daughter, and to find support for yourselves.
2) Does anyone in your family have schizophrenia, as this disease is known to be genetic?
3) You may feel bad now, but there are so many other bad things out there, such as cancer and paralysis.
4) Let me share with you some websites to help you deal with your guilt.

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Final answer:

Schizophrenia is a complex condition influenced by both genetics and environment, and it is important to reassure parents that they are not to blame. Empathetic support and providing education on the genetic vulnerability and environmental stress factors involved can help address family guilt effectively.

Step-by-step explanation:

When addressing the concerns of a family with a 16-year-old girl who has experienced her first psychotic break, it's important to be both informative and supportive. In this case, the best nursing response is: 'No one really knows the cause of schizophrenia. It is not your fault and is not due to anything you did in the past. It is important to understand this, to support your daughter, and to find support for yourselves.' This response is empathetic and focuses on education and support. Schizophrenia affects approximately one percent of people in the United States, with symptoms making it hard to differentiate between reality and imagination, among other cognitive and emotional challenges. While there is a genetic component to schizophrenia, as studies have shown a higher risk among those with a family history of the condition, environmental factors also play a crucial role. For instance, individuals with both a high genetic risk and a disturbed home environment have a significantly higher likelihood of developing schizophrenia.

Treatment for schizophrenia typically involves the use of antipsychotic medications that adjust neurotransmission in the brain. Understanding the dual interplay of genetic vulnerability and environmental stress is crucial in addressing the guilt parents may feel, and reassures them that they are not to blame for their daughter's condition. It's also vital to provide resources for both the patient and her family to manage the impacts of schizophrenia effectively.

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