The nurse is performing an assessment of the hospitalized client. After speaking with the client, the nurse believes that the client is demonstrating altered thought processes. Which statements by the client validate the nurse's conclusion?

Question

1. "When I was little I had four cats. Can I wear a dress instead of this hospital gown?"
2. "I wish that my grandmother's daughter would visit me more often."
3. "I have never had so much pain. I just don't feel like speaking with you right now."
4. "My doctor has only been to visit me once during the last three days. I'm starting to feel angry that she hasn't come to see if I'm doing better."
5. "Red squirrels dance on the divine divide."

Answer 1

Correct Answer: 1
The client who frequently jumps from one subject to another is exhibiting a flight of ideas. Flight of ideas is associated with altered thought processes. The client who is unable to communicate ideas easily is exhibiting circumlocution. It would have been easier for the client to state that she wished her mother would visit more frequently. The client who is unable to communicate an idea that makes sense in the context of the situation is exhibiting word salad (schizophasia). The client who is experiencing pain may not feel like communicating with the nurse. This is not an example of altered thought processes. It would be appropriate for the client to feel that the healthcare provider should visit the client more often than once in 3 days.