A nurse is conducting a group therapy session for several clients. The group is laughing at a joke one of the clients told, when a client who is schizophrenic jumps up and runs out of the room yelling. "You are all making fun of me!" The nurse should identify this behavior as which of the following characteristics of schizophrenia?
Looseness of association
ideas of reference
Magical thinking
Delusions of grandeur
The Correct Answer is B
A. Looseness of association: Looseness of association refers to a thought disorder characterized by disorganized thinking and lack of logical connections between thoughts. It typically presents as disjointed or fragmented speech patterns, rather than misinterpreting social cues or actions of others.
B. Ideas of reference: Ideas of reference are a characteristic feature of schizophrenia involving the belief that external events, objects, or actions have special significance specifically directed at oneself. In this scenario, the client's belief that others laughing at a joke is directed towards them is an example of ideas of reference.
C. Magical thinking: Magical thinking involves the belief that one's thoughts, actions, or words can influence external events or outcomes. It is often associated with superstitions and rituals. While magical thinking can occur in schizophrenia, it is not specifically demonstrated in this scenario.
D. Delusions of grandeur: Delusions of grandeur involve false beliefs of one's own importance, power, or identity. While delusions of grandeur are a symptom of schizophrenia, they are not evident in this scenario, as the client's reaction is more related to misinterpretation of social cues rather than an exaggerated sense of self-importance.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. "I use a suppository every night to have a bowel movement": This statement indicates an appropriate understanding of managing bowel function, as regular bowel movements are essential for individuals with spinal cord injury to prevent complications such as constipation.
B. "I only need to catheterize myself twice every day": Individuals with spinal cord injury and paralysis often require intermittent catheterization at regular intervals to empty their bladders completely and prevent urinary retention. Twice-daily catheterization may not be sufficient for adequate bladder management and could lead to urinary complications such as urinary tract infections or bladder overdistention. The client may need further teaching to understand the importance of more frequent catheterization.
C. "I carry a water bottle with me because I drink a lot of water": Staying hydrated is crucial for individuals with spinal cord injury to prevent urinary tract infections and maintain overall health. Carrying a water bottle indicates an appropriate understanding of the importance of hydration.
D. "I do wheelchair exercises while watching TV": Engaging in wheelchair exercises is beneficial for maintaining strength, mobility, and overall health for individuals with spinal cord injury. This statement demonstrates an understanding of the importance of physical activity and exercise in the client's daily routine.
Correct Answer is ["A","B","D","E"]
Explanation
A. Dental care: Teaching parents about dental care for toddlers is important for promoting good oral hygiene habits and preventing dental issues such as cavities. This may include guidance on toothbrushing techniques, appropriate fluoride toothpaste use, regular dental check-ups, and avoidance of sugary foods and drinks.
B. How to encourage cooperative play: Encouraging cooperative play is an important aspect of a toddler's social and emotional development. This topic may be more relevant for preschool-aged children rather than toddlers, who are typically more focused on parallel play.
C. Need for increased caloric intake: Toddlers generally have high energy needs due to their rapid growth and development. However, this information may not be necessary in health promotion teaching for parents of toddlers unless there are specific concerns about the child's growth or nutritional status. It's essential to focus on providing a balanced diet rather than emphasizing the need for increased caloric intake.
D. Management of tantrums: Tantrums are common during the toddler years as children begin to assert their independence and struggle with emotions and self-regulation. Teaching parents strategies for managing tantrums, such as remaining calm, setting limits, providing distraction, and offering positive reinforcement for appropriate behavior, can be helpful in promoting positive behavior management and reducing stress for both the child and the parents.
E. How to establish trust: Establishing trust is a fundamental aspect of parent-child relationships and contributes to the child's sense of security and attachment. While this is an important topic, it may be more relevant for infancy rather than toddlerhood. However, reinforcing the importance of responsive caregiving, consistent routines, and nurturing interactions can still support the development of trust during the toddler years.
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