A patient diagnosed with schizophrenia begins to talks about "macnabs" hiding in the warehouse at work. The term "macnabs" should be documented as:
a. a neologism.
b. concrete thinking.
c. thought insertion.
d. an idea of reference.
ANS: A
A neologism is a newly coined word having special meaning to the patient. "Macnabs" is not a known common word. Concrete thinking refers to the inability to think abstractly. Thought insertion refers to thoughts of others are implanted in one's mind. Ideas of reference are a type of delusion in which trivial events are given personal significance.
You might also like to view...
While doing rounds at the beginning of a shift, the nurse notices a sputum specimen sitting on the bedside table in a patient's room and asks the patient when she produced the sputum specimen
Learning the specimen is about 4 hours old, what action should the nurse take? A) Immediately take the sputum specimen to the laboratory. B) Discard the specimen and assist the patient in obtaining another specimen. C) Refrigerate the sputum specimen. D) Wait an additional 2 hours before sending the specimen to the laboratory.
Cultural competence:
a. encourages stereotyping of patients. b. emphasizes differences between different people. c. involves ongoing expansion and updating. d. is a destination rather than a journey.
The nurse is teaching appropriate coping skills to a client diagnosed with an anxiety disorder. Which phase of nurse–client relationship is the nurse facilitating?
A) Preinteraction B) Orientation C) Working D) Termination
The school nurse talks with an adolescent who comes into the nurse's office complaining of a stomachache
In talking with the adolescent and the adolescent's parents, the nurse learns that this adolescent has been withdrawing from usual activities, sleeping a lot, eating poorly, and having a lot of unprovoked anger. Based on these symptoms, the nurse would suspect: a. stomach virus and recommend that the mother take the child to the pediatrician b. depression and talk with the mother to enlist her help in screening for depression c. anorexia nervosa and recommend that the mother take the child to a clinic for anorexia nervosa for screening d. attention-seeking behavior due to identity crisis, and enlist the teacher's help to reduce stress in the classroom