A nurse is conducting a group therapy session for several clients. The group is laughing at a joke one of the clients told, when a client who is schizophrenic jumps up and runs out of the room yelling. "You are all making fun of me!" The nurse should identify this behavior as which of the following characteristics of schizophrenia?
Looseness of association
ideas of reference
Magical thinking
Delusions of grandeur
The Correct Answer is B
A. Looseness of association: Looseness of association refers to a thought disorder characterized by disorganized thinking and lack of logical connections between thoughts. It typically presents as disjointed or fragmented speech patterns, rather than misinterpreting social cues or actions of others.
B. Ideas of reference: Ideas of reference are a characteristic feature of schizophrenia involving the belief that external events, objects, or actions have special significance specifically directed at oneself. In this scenario, the client's belief that others laughing at a joke is directed towards them is an example of ideas of reference.
C. Magical thinking: Magical thinking involves the belief that one's thoughts, actions, or words can influence external events or outcomes. It is often associated with superstitions and rituals. While magical thinking can occur in schizophrenia, it is not specifically demonstrated in this scenario.
D. Delusions of grandeur: Delusions of grandeur involve false beliefs of one's own importance, power, or identity. While delusions of grandeur are a symptom of schizophrenia, they are not evident in this scenario, as the client's reaction is more related to misinterpretation of social cues rather than an exaggerated sense of self-importance.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Undoing: Undoing is a defense mechanism characterized by attempting to reverse or negate a previous action or experience through symbolic acts or behaviors. This involves expressing remorse or attempting to make up for perceived wrongdoings. The student's behavior of berating the teacher and the course does not align with undoing.
B. Projection: Projection is a defense mechanism where one attributes their unacceptable thoughts, feelings, or impulses onto others. In this scenario, the student is projecting their feelings of failure onto the teacher and the course, blaming them for the failed examination instead of taking personal responsibility.
C. Regression: Regression involves reverting to earlier, more childlike behaviors or stages of development in response to stress or conflict. While the student's behavior may involve emotional distress related to the failed examination, the act of berating the teacher and the course is not indicative of regression.
D. Conversion: Conversion involves the expression of psychological stress or emotional conflict through physical symptoms or complaints without a physiological basis. The student's behavior of berating others does not fit the pattern of conversion.
Correct Answer is C
Explanation
A. "You have a great deal to live for."
While this response is supportive and positive, it may not effectively address the client's feelings of worthlessness. It may come across as dismissive or invalidating of the client's emotions.
B. "It's not unusual for depressed people to feel that way."
This response acknowledges the commonality of feeling worthless among individuals with depression. While it normalizes the client's experience, it doesn't directly address the client's statement or offer support.
C. "You've been feeling that your life has no meaning."
This response reflects active listening and demonstrates empathy by paraphrasing the client's statement to show understanding. It acknowledges the client's feelings and opens the door for further exploration of the underlying issues contributing to their sense of worthlessness.
D. "Why do you feel you are worthless?"
While this response seeks to explore the underlying reasons for the client's feelings, it may come across as confrontational or judgmental. It puts the client on the spot to justify their emotions, which could make them feel defensive or invalidated.
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