During a conversation with a client with schizophrenia, the nurse realizes that the client's disorganized thinking is frequently manifested by looseness of association when the client states:

A)

"I hate all these speaking engagements required of me as the President of Hungary."
B)

"I had a good lunch. I love ice cream. My aunt visited yesterday."
C)

"Newspaper, ghetto, cat, rat, silly girl."
D)

"I wish they would clean the spiders off the wall."


B
Explanation:

A)

Looseness of association, or derailment, involves a pattern of speech in which ideas move from one track to another, often loosely connected. Option A describes delusional thinking. Option C is an example of a word salad. Option D may be a hallucination, or real.
Application
Assessment
Psychosocial Integrity: Psychosocial Adaptation
B)

Looseness of association, or derailment, involves a pattern of speech in which ideas move from one track to another, often loosely connected. Option A describes delusional thinking. Option C is an example of a word salad. Option D may be a hallucination, or real.
Application
Assessment
Psychosocial Integrity: Psychosocial Adaptation
C)

Looseness of association, or derailment, involves a pattern of speech in which ideas move from one track to another, often loosely connected. Option A describes delusional thinking. Option C is an example of a word salad. Option D may be a hallucination, or real.
Application
Assessment
Psychosocial Integrity: Psychosocial Adaptation
D)

Looseness of association, or derailment, involves a pattern of speech in which ideas move from one track to another, often loosely connected. Option A describes delusional thinking. Option C is an example of a word salad. Option D may be a hallucination, or real.
Application
Assessment
Psychosocial Integrity: Psychosocial Adaptation

Nursing

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