The nurse cautions a patient to watch his step. What response indicates concrete thinking?

a. The patient fixedly begins to watch his feet.
b. The patient immediately examines his watch.
c. The patient begins to watch the nurse's feet.
d. The patient stands rigidly in one place without moving.


ANS: A
Concreteness is an indication of disordered thinking. The patient is unable to translate any words except by a very concrete definition.

Nursing

You might also like to view...

A new nurse in the emergency department is examining a 4-year-old child who is sitting upright, is drooling, and is restless. Which action by the new nurse causes an experienced nurse to intervene?

A. Attaches a cardiac monitor and oximeter B. Attempts to assess throat with a tongue blade C. Permits child to remain in an upright position D. Prepares to administer racemic epinephrine (MicroNefrin)

Nursing

The critical care nurse is caring for a patient with a pulmonary artery pressure monitoring system. The nurse is aware that pulmonary artery pressure monitoring is used to assess left ventricular function

What is an additional function of pulmonary artery pressure monitoring systems? A) To assess the patient's response to fluid and drug administration B) To obtain specimens for arterial blood gas measurements C) To dislodge pulmonary emboli D) To diagnose the etiology of chronic obstructive pulmonary disease

Nursing

Which developmental characteristic should a nurse identify as typical of a client diagnosed with severe intellectual developmental disorder (IDD)?

1. The client can perform some self-care activities independently. 2. The client has more advanced speech development. 3. Other than possible coordination problems, the client's psychomotor skills are not affected. 4. The client communicates wants and needs by "acting out" behaviors.

Nursing

A client who is HIV-seropositive continues to use heroin on a daily basis, often shooting up with other addicted individuals. The client has agreed that his behavior endangers others and has agreed not to share needles

What can the nurse give as a realistic estimate for success in attaining this outcome? 1. Low potential for achievement 2. Moderate potential for achievement 3. High potential for achievement 4. Ultra-high potential for achievement

Nursing