A nurse asks a patient diagnosed with schizophrenia, "What is meant by the old saying ‘You can't judge a book by looking at the cover.'?" Which response by the patient indicates concrete thinking?
a. "The table of contents tells what a book is about."
b. "You can't judge a book by looking at the cover."
c. "Things are not always as they first appear."
d. "Why are you asking me about books?"
ANS: A
Concrete thinking refers to an impaired ability to think abstractly. Concreteness is often assessed through the patient's interpretation of proverbs. Concreteness reduces one's ability to understand and address abstract concepts such as love or the passage of time. The incorrect options illustrate echolalia, an unrelated question, and abstract thinking.
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