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 C
Explanation
A. Elbow. Elbow restraints are typically used to limit movement of the elbow joint. However, they may not be suitable for an infant post-cleft lip and palate repair surgery. The primary concern after this type of surgery is to prevent the infant from touching the surgical site, which requires a more comprehensive restraint method.
B. Jacket. A jacket restraint wraps around the torso and arms, similar to a mummy restraint. However, jacket restraints may not provide as much immobilization or security for the infant's arms as a mummy restraint. Given the importance of preventing the infant from touching the surgical site, a mummy restraint may be more appropriate in this case.
C. Mummy. This is the correct choice. A mummy restraint wraps around the infant's torso and arms, providing secure immobilization to prevent the infant from touching the surgical site. It is specifically designed to restrict movement while still allowing some freedom for comfort and positioning. This type of restraint is commonly used for infant’s post-cleft lip and palate repair surgery to facilitate optimal healing and prevent disruption of sutures.
D. Wrist. Wrist restraints are typically used to restrict movement of the wrists and hands. However, they may not be suitable for an infant post-cleft lip and palate repair surgery, as the primary concern is to prevent the infant from touching the surgical site on the face. Wrist restraints would not effectively address this issue and may be unnecessarily restrictive for the infant's comfort and mobility.
Correct Answer is C
Explanation
A. Bizarre behavior: Bizarre behavior is typically considered a positive symptom of schizophrenia rather than a negative symptom. Positive symptoms involve the presence of abnormal behaviors or experiences that are not typically seen in healthy individuals. Bizarre behavior can include hallucinations, delusions, disorganized thinking, and grossly disorganized or catatonic behavior.
B. Somatic delusions: Somatic delusions, where the individual believes they have a medical condition or physical defect that is not present, are also considered positive symptoms of schizophrenia. Positive symptoms involve distortions or exaggerations of normal functions.
C. Affective flattening: This is the correct choice. Affective flattening, also known as blunted affect, refers to a reduction in the intensity, range, and expression of emotional responses. Individuals with schizophrenia who exhibit affective flattening may have a limited range of facial expressions, reduced vocal inflections, and a diminished ability to express emotions appropriately. Affective flattening is considered a negative symptom because it reflects a decrease or absence of normal emotional functioning.
D. Illogicality: Illogicality, or disorganized thinking, is another positive symptom of schizophrenia. It involves difficulties in organizing thoughts and expressing them coherently. Individuals with schizophrenia may exhibit illogical speech patterns, such as tangentiality (going off on tangents), loose associations (jumping from one unrelated topic to another), or thought blocking (sudden interruption of thoughts).
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