A patient insistently states, "I can decipher codes of DNA just by looking at someone." Which problem is evident?
Magical thinking
Ideas of reference
Visual hallucinations
Thought insertion
The Correct Answer is A
A. Magical thinking involves belief that one has special powers or that thoughts/actions can influence unrelated events. Claiming an ability to decode DNA by sight reflects an irrational belief in a special, unrealistic power.
B. Ideas of reference are the belief that neutral events (TV, conversations) refer specifically to oneself; that is not described here.
C. Visual hallucinations are false sensory perceptions (seeing things that aren't there); the statement describes a belief about an ability, not a sensory experience.
D. Thought insertion is the delusional belief that others are putting thoughts into one’s mind; the patient is claiming a personal ability, not externally implanted thoughts.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. The highest priority is monitoring for refeeding syndrome, a potentially fatal complication when nutrition is reintroduced after prolonged starvation. It causes severe electrolyte shifts (especially hypophosphatemia, hypokalemia, and hypomagnesemia) and cardiac/respiratory complications.
B. Important, but not priority. Therapeutic communication builds trust, but physiological safety is the first concern.
C. Help the patient balance energy expenditures with caloric intake. – Useful long-term. This supports recovery but is not immediately life-saving.
D. Assess for depression and anxiety. – Necessary, but secondary. Mental health evaluation is part of holistic care, but immediate physical safety takes precedence.
Correct Answer is A
Explanation
A. This occurs when the nurse projects personal feelings about someone from their own life onto the patient (e.g., comparing the patient to a grandparent and feeling sadness).
B. This refers to severe emotional outbursts in cognitively impaired patients, not nurse behavior.
C. This would involve the nurse using defense mechanisms to protect themselves from anxiety, not relating to the patient as a grandparent.
D. Transference is when the patient projects feelings onto the nurse, not the other way around.
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