During the mental status examination, the nurse observes that the client rapidly changes from one idea to another related thought. Which disordered thinking process is the client displaying?
Ideas of reference
Flight of ideas
Confabulation
Perseveration
The Correct Answer is B
Choice A rationale: this is a type of delusion involving the misinterpretation of random events as having personal significance or reference.
Choice B rationale: flight of ideas refers to a disordered thinking process involving rapid shifts from one topic to another. The client’s speech is often incoherent and difficult to follow.
Choice C rationale: this is a type of memory distortion involving the fabrication of stories or details to fill the gaps in an individual’s memory. Usually occurs in conditions such as dementia, substance abuse, and brain damage.
Choice D rationale: this refers to the repetition of the same word, phrase, or action over and over without being able to stop or switch to something else. Occurs in conditions such as schizophrenia, brain injury, or a stroke.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A rationale: this statement is correct since it shows that the nurse is understanding and sharing the patient’s feelings without judging them but instead the nurse is acknowledging the client’s pain and is showing compassion. It reflects on the patient’s emotions and validates their experiences.
Choice B rationale: this is a sign of sympathy and not empathy since it shows that the nurse is sorry for the patient but is not necessarily relating to their emotions.
Choice C rationale: this statement is dismissive since it tries to make the client feel better by overlooking and downplaying their negative feelings which may worsen their situation.
Choice D rationale: this is a hopeful response rather than an empathetic one and does not address the client’s current emotions and feelings despite being a source of encouragement and optimism.
Correct Answer is C
Explanation
Choice A rationale: Crestor (Rosuvastatin) is a statin used for lowering cholesterol levels, not for treating depression.
Choice B rationale: Seroquel (Quetiapine) is an atypical antipsychotic used for various mental health conditions such as schizophrenia, bipolar disorder, and major depressive disorder. However, it is not a first-line treatment for depression.
Choice C rationale: Paxil (Paroxetine) is an antidepressant commonly used in the treatment of depression and other mood disorders. It belongs to the selective serotonin reuptake inhibitor (SSRI) class of medications.
Choice D rationale: Latuda (Lurasidone) is an atypical antipsychotic used in certain psychiatric conditions such as schizophrenia and bipolar depression but is not typically a first-line treatment for depression.
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