The nurse is caring for a client who entered the psychiatric emergency department in a state of acute psychosis after ingesting illicit substances. The parents ask the nurse if the client will develop schizophrenia. What is the most appropriate response by the nurse?

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It is important to distinguish clinically between the very similar presentations of intoxication, delirium secondary to a medical condition, dementia, and psychiatric disorders involving distorted perceptions of reality in order to begin the appropriate treatment. Some illicit substances (eg, marijuana, LSD, PCP) have been reported to cause episodes of severe, acute psychosis. Some clients will never experience another episode of psychosis. However, in rare cases, illicit substances may trigger a genetic predisposition to development of a mental illness. There is no way to establish the long-term prognosis. (Option A) The long-term prognosis after an episode of psychosis is impossible to predict with any accuracy. It is tempting to offer comfort to a client's family in a time of crisis, but the nurse should never make promises. (Option B) Most cases of drug-induced psychosis are transient. (Option D) After substance abuse has been verified, client education regarding drug abuse and therapy or counseling are indicated. However, it is extremely unprofessional to judge clients for their behavior and lifestyle choices. Educational objective: Clients demonstrating altered mental status should be assessed for intoxication and medical causes of delirium (electrolyte/glucose imbalances, pneumonia, sepsis, malnutrition) prior to involving a mental health care professional.

The Nurse Is Caring for a Client Who Entered the Psychiatric