The admitting nurse asks a client, "Hi John, what would you like to talk about in group today? The client replies, "Hi john, what would you like to talk about in group today." The nurse should recognize this response as an example of which of the following?

Echolalia

Word salad

Flight of ideas

Clanging

Answer and Explanation

The Correct Answer is A

A) Echolalia: Echolalia is the repetition or echoing of another person's words or phrases. In this case, the client repeats the nurse's question verbatim, which is a clear example of echolalia. This behavior is often seen in individuals with certain psychiatric disorders, such as schizophrenia.

B) Word salad: Word salad refers to a jumble of incoherent or nonsensical words and phrases that lack logical meaning or structure. The client’s response here is a direct repetition of the nurse’s question, not a disorganized or nonsensical string of words, so this is not an example of word salad.

C) Flight of ideas: Flight of ideas involves a rapid flow of thoughts where the person jumps from one idea to another with little connection between them. The client’s response doesn’t indicate a rapid change of ideas, so this is not flight of ideas.

D) Clanging: Clanging involves speech in which words are chosen based on their sound rather than their meaning, often producing rhymes or puns. The client’s response doesn’t involve wordplay or sounds but is merely a repetition of the nurse’s words, so it is not clanging.

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Correct Answer is C

Explanation

A) Grandeur: A delusion of grandeur involves the belief that one has exceptional abilities, power, or importance, such as thinking they are a famous person or have special powers. While the client believes they have a powerful ability (telepathy), the belief is more about influencing events than an inflated sense of personal superiority or power.

B) Persecution: Delusions of persecution involve the belief that one is being targeted, harassed, or harmed by others. The client's statement does not reflect fear of being harmed or targeted by others but rather reflects a belief in using their mind to manipulate an outcome, so this is not an example of a persecutory delusion.

C) Magical thinking: Magical thinking involves the belief that one's thoughts, actions, or words can influence or control external events in ways that defy the laws of logic or nature. The client believes they can use telepathic power to influence the doctor's decision to discharge them, which is a classic example of magical thinking.

D) Thought withdrawal: Thought withdrawal is the delusion that one's thoughts are being taken away or removed by an external force. The client's statement does not suggest that their thoughts are being stolen, but rather that they are using their thoughts to control or influence another person, which rules out this delusion.

A. Delirium and anxiety B. Dry mouth and blurry vision C. Dysrthythmia and headache D. Diarrhea and flatus

Correct Answer is B

Explanation

A) Delirium and anxiety: While delirium and anxiety can be seen in some patients taking medications, they are not the most common side effects of typical antipsychotics. Typical antipsychotics, such as chlorpromazine or haloperidol, are more likely to cause anticholinergic effects or extrapyramidal symptoms, not delirium or anxiety, so this is less relevant in this case.

B) Dry mouth and blurry vision: Typical antipsychotics are known to have anticholinergic effects, which can lead to symptoms such as dry mouth, blurry vision, constipation, and urinary retention. These are common side effects that the nurse should be prepared to discuss with the client, especially because the client is unfamiliar with these medications.

C) Dysthythmia and headache: While dysthythmia (irregular heart rhythms) and headache may occur as side effects of some medications, they are not the most common or expected side effects of typical antipsychotics. The nurse would be more concerned with anticholinergic effects or extrapyramidal symptoms in this context.

D) Diarrhea and flatus: Diarrhea and excessive gas (flatus) are not typical side effects of antipsychotics. In fact, the opposite is more common due to the anticholinergic effects of these medications, which can cause constipation and difficulty with bowel movements, not diarrhea.

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The admitting nurse asks a client, "Hi John, what would you like to talk about in group today? The client replies, "Hi john, what would you like to talk about in group today." The nurse should recognize this response as an example of which of the following?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A client states to the nurse, "I'm using my telepathic brain power to force the doctor to discharge me." This is likely an example of which delusion?

Correct Answer is C

Explanation

A patient states to the nurse, "I have no idea what typical antipsychotics but now I've been asked to take them." What symptoms should the nurse be prepared to discuss with the client?

Correct Answer is B

Explanation

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