The client who believes everyone is out to get them is experiencing a(n):
Idea of reference
Hallucination
Delusion
Loose association
The Correct Answer is C
Choice A reason: Ideas of reference involve misinterpreting neutral events as having personal significance. Believing that others are plotting against them goes beyond this and reflects a fixed false belief.
Choice B reason: Hallucinations are false sensory perceptions, such as hearing voices or seeing things that are not present. The client’s belief is cognitive, not sensory, so hallucination is not applicable.
Choice C reason: Delusions are fixed false beliefs that are not based in reality and are resistant to evidence. Paranoid delusions involve beliefs of persecution, such as thinking others are out to get them. This is the most accurate classification.
Choice D reason: Loose associations refer to disorganized speech where ideas are poorly connected. The client’s statement is coherent and focused on a specific belief, not disorganized thought flow.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A reason: Social isolation is a maladaptive coping strategy that can worsen grief, depression, and anxiety. It limits access to emotional support, reduces opportunities for processing loss, and may lead to further psychological decline. Isolation prevents healing and increases the risk of complicated grief.
Choice B reason: Meditation is a healthy coping mechanism that promotes relaxation, emotional regulation, and mindfulness. It helps individuals process grief and reduce stress.
Choice C reason: Daily prayer can provide spiritual comfort, hope, and a sense of connection. It is often used as a positive coping strategy, especially in culturally or religiously grounded individuals.
Choice D reason: Exercise supports physical and mental health. It reduces stress, improves mood, and enhances resilience. It is considered an adaptive coping behavior during grief.
Correct Answer is A
Explanation
Choice A reason: While pets can provide emotional comfort, companionship, and reduce feelings of loneliness, pet support is not universally recognized as a foundational contributor to a healthy sense of belonging in the context of social integration. Belonging typically involves reciprocal human relationships, shared identity, and social roles, which pets cannot fully provide. Therefore, pet support, though beneficial, is not a core determinant of social belonging.
Choice B reason: Social support includes emotional, informational, and practical assistance from others. It fosters connection, validation, and resilience, all of which are essential to a sense of belonging. Individuals with strong social support systems are more likely to feel accepted and valued within their communities.
Choice C reason: Family support is a primary source of belonging, especially in early development and during times of stress. It provides identity, emotional grounding, and continuity. Family relationships often form the basis of one’s social and cultural integration.
Choice D reason: Social networks encompass friendships, community ties, and professional relationships. They offer opportunities for interaction, shared experiences, and mutual support. These networks are critical for maintaining a sense of belonging across different life domains.
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