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 B
Explanation
Choice A rationale: lithium does not affect the levels of red blood cells hence no monitoring is required during its intake.
Choice B rationale: lithium is excreted in the kidneys hence close kidney function monitoring is essential since it prevents lithium toxicity.
Choice C rationale: lithium does not affect the levels of hemoglobin and hematocrit levels hence no frequent monitoring is required during its intake.
Choice D rationale: lithium does not affect the levels of white blood cells hence no monitoring is required during its intake.
Correct Answer is B
Explanation
Choice A rationale: this is the phase where the caregiver and client establish a rapport by introducing themselves while clarifying their roles and expectations. The caregiver also explains the purpose, scope, and limits of the services they provide.
Choice B rationale: the preparation phase occurs before the client and the caregiver meet and involves the care provider reviewing the client’s information, identifying their needs, and planning for their first contact.
Choice C rationale: This is the phase where the caregiver and the client end the therapeutic relationship, evaluate the outcomes, and plan for follow-up or referral.
Choice D rationale: this phase involves the caregiver and the client implementing interventions, monitoring their progress, and modifying their goals as needed to achieve their set objectives.
Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.
Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today