A nurse is caring for a patient with mania. She knows this person would experience issues with disorganized thoughts and speech patterns. Select the evident ways in which disorganized speech might be manifested. (Select all that apply).
Flight of ideas
Delusions of grandeur
Tangential speech
Circumstantial speech
Pressured speech
Correct Answer : A,C,D,E
Rationale:
A. This is a form of disorganized speech where the person rapidly shifts from one topic to another, often without logical connection.
B. This is a type of delusional thinking, not a speech pattern. It involves an inflated sense of self-importance or abilities.
C. This occurs when the person begins to answer a question but veers off-topic and never returns to the original point.
D. This involves including excessive and unnecessary detail but eventually returning to the point, demonstrating disorganized but not completely illogical thought.
E. This is rapid, excessive speech that is difficult to interrupt, common in manic episodes and a sign of disorganized communication.Top of Form
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Rationale:
A. Arthritis does not typically affect lithium metabolism or clearance.
B. Heart failure can impair renal function and fluid balance, increasing the risk of lithium toxicity and making serum concentration monitoring critical.
C. Psoriasis does not interfere with lithium pharmacokinetics.
D. Epilepsy is not directly related to lithium metabolism, though caution is warranted if the patient is on other medications.
Correct Answer is C
Explanation
Rationale:
A. Dysthymic disorder is a chronic mild depression and typically does not require intensive supervision.
B. Bipolar II disorder involves hypomania and depression but less severe mania than Bipolar I.
C. Bipolar I disorder includes full manic episodes which can involve risky, impulsive, or aggressive behavior requiring close supervision for safety.
D. Cyclothymic disorder involves milder mood swings and generally lower risk behaviors.
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