The Nurse Is Performing the Initial Assessment on a Patient

The nurse is performing the initial assessment on a patient admitted to the psychiatric unit. The patient hears voices saying to cut the patient's arms with razor blades until they bleed. The nurse should assess for which findings?

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