A client has been admitted with disorganized type schizophrenia. The nurse observes blunted af-fect and social isolation. He occasionally curses or calls another client a "jerk" without provoca-tion
The nurse asks the client how he is feeling, and he responds, "Everybody picks on me. They fro-bitz me." The nurse would assess "frobitz" as:
1. Circumstantial speech
2. Loose associations
3. Evidence of delusional thinking
4. A neologism
ANS: 4
A newly coined word having meaning only for the client is called a neologism (meaning, new word). It is associated with autistic thinking. Options 1 and 2: Other than the use of the neolo-gism, the client's speech does not show associative looseness or circumstantiality. Option 3: The use of a neologism is not delusional in and of itself, but it suggests delusional thinking may be present.
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A nurse at a small, rural nursing station that lacks the services of a physical therapist is responsible for planning the care of a local resident who has rheumatoid arthritis
When planning a regimen of physical activity for this patient, what principle should underlie the nurse's choice of interventions? A) Limiting physical activity slows the progression of rheumatoid disorders. B) Joints should be splinted whenever physical activity is performed. C) Active range-of-motion (ROM) exercises can reduce joint stiffness. D) ROM exercises should be passive (performed by the nurse) whenever possible.
Upon assessment of the ear canal, a nurse noted impacted cerumen. The nurse has recom-mended Cerumenex drops as directed by the client's physician or pharmacist for 3 days
Af-ter 3 days of instilling drops, the client returns to the clinic for follow up with ear irrigation. List the following steps for the irrigation in the correct order: A. Fill a large syringe with warm tap water. B. Assess the ear to validate the continued presence and position of cerumen. C. Explain the procedure for ear irrigation. D. Gently place the tip of the syringe at an angle into the ear canal. E. Irrigate the ear with warm tap water. F. Place a drape and basin under the ear to be irrigated.G. Observe and document results.
What is a major potential risk of research to participants?
A) Monetary gains B) Access to a new and potentially beneficial treatment C) Opportunity to discuss personal feelings and experiences with an objective listener. D) Physical boredom
An enduring pattern of behavior that is pervasive and inflexible, and limits a person's ability to function in society is called a ____________________
Fill in the blank(s) with correct word