A client on the mental health unit has disorganized type schizophrenia. The nurse observes blunted affect and social isolation. He occasionally curses or calls another client a "jerk" without provocation. The nurse asks the client how he is feeling, and he responds, "Everybody picks on me. They frobitz me."

The client's communication exhibits
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Answer and Explanation

The Correct Answer is {"dropdown-group-1":"A"}

A.   Neologisms are new words or expressions created by the individual, often with personal meaning only they understand. "Frobitz" is an example of a neologism.
B.   Loose associations involve a lack of logical connection between thoughts and ideas, leading to disjointed or incoherent speech.
C.   Delusional thinking involves holding false beliefs that are resistant to reason or contradictory to evidence.
D.   Circumstantial speech involves excessive and unnecessary detail before getting to the point of a conversation.

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Correct Answer is A

Explanation

A) Correct. Amitriptyline, like other tricyclic antidepressants, can cause orthostatic hypotension, which is a drop in blood pressure when changing position from lying to standing.

B) Incorrect. Diarrhea is not a common side effect of amitriptyline.
C) Incorrect. Weight gain is more commonly associated with amitriptyline, not weight loss.
D) Incorrect. Excessive salivation is not a typical side effect of amitriptyline.

A. "Attempts to communicate by using rhyming words." B. "Nonverbals indicate communication with unseen others." C. "Verbalizes happiness about trip to park which was not based in fact." D. "Rambles about early childhood experiences jumping from topic to topic."

Correct Answer is C

Explanation

Confabulation involves the fabrication of details or events to fill in gaps in memory. In this case, the client is expressing happiness about a trip to the park that did not actually occur, which is an example of confabulation.

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Naxlex Comprehensive Predictor Exams

A client has been diagnosed with major depression and placed on amitriptyline. Which is a side effect of amitriptyline?

Correct Answer is A

Explanation

Which nursing documentation entry accurately describes a client's use of confabulation?

Correct Answer is C

Explanation

A client is admitted with tachycardia, hypertension, restlessness, agitation, and admits substance use. Which substance would be most likely to cause these symptoms?

A client diagnosed with schizophrenia is experiencing delusions of persecution. How would the client express feeling persecuted?

A nurse is providing teaching for a client who has schizophrenia and a new prescription for risperidone. Which of the following statements should the nurse include in the teaching?

A client is showing symptoms of alcohol intoxication. What question should the nurse ask first?

An adolescent tells the school nurse, "My friend threatened to take an overdose of pills." The nurse talks to the friend who verbalized the suicide threat. What is the most critical question for the nurse to ask?

A client is showing early signs of dementia. The client's spouse asks, "What may I expect next?" What is the nurse's best response?

A client is hospitalized following a suicide attempt after breaking up with her significant other. The client says to the nurse, "When I get out of here, I'm going to try this again, and next time I'll get it right?" Which is the best response by the nurse?

The nurse receives report on a male client diagnosed with schizoaffective disorder and is informed that the client's verbal communication includes "circumstantiality." What intervention is most therapeutic when caring for this client?