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

Answer and Explanation

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.

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Correct Answer is ["A","B","E"]

Explanation

Choice A rationale: Risperdal is an antipsychotic that can help reduce psychotic symptoms such as delusions and hallucinations, as well as stabilize mood swings.
Choice B rationale: Lithium is a mood stabilizer that can prevent manic episodes and reduce the risk of suicide.
Choice C rationale: Ativan is a benzodiazepine that can relieve anxiety and panic attacks.
Choice D rationale: Benadryl is an antihistamine that can cause drowsiness and sedation, but has no effect on mood.
Choice E rationale: Depakote is a mood stabilizer that can also treat seizures and migraines.

A. Providing false reassurance B. Use of open-ended questions C. Active listening D. Silence

Correct Answer is A

Explanation

Choice A rationale: providing false reassurances invalidates the client’s feelings and concerns thus making them feel that the nurse is not trustworthy or empathetic. This may hinder the development of a therapeutic relationship.
Choice B rationale: the use of open-ended questions is appropriate since it allows the client to freely express their thoughts and feelings without being limited by the yes or no answers.
Choice C rationale: active listening involves paying attention to the client’s verbal and non-verbal cues and clarifying any possible misunderstandings.
Choice D rationale: silence is crucial since it enables the client to reflect on their thoughts and to process their emotions. Furthermore, it is a form of respect for the client’s feelings.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is administering medications to a client with a diagnosis of a mental illness with a mood disorder. The nurse would expect to see which medications were ordered for this client. (Select all that apply)

Correct Answer is ["A","B","E"]

Explanation

Barriers to therapeutic communication include probing, giving advice and

Correct Answer is A

Explanation

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Which qualities must be communicated to a client for the establishment of a therapeutic relationship? Select all that apply.

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