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 C
Explanation
A. Haloperidol is not commonly associated with bleeding; this is more relevant to anticoagulants or antiplatelet therapy.
B. Pancreatitis is more commonly associated with certain antipsychotics like clozapine or valproate, not haloperidol.
C. Haloperidol, a typical antipsychotic, can prolong the QT interval and cause cardiac dysrhythmias, especially in higher doses or IV administration. Monitoring ECG and cardiac status is important.
D. Cataract formation is a potential adverse effect of long-term use of atypical antipsychotics such as quetiapine or olanzapine, not haloperidol.
Correct Answer is B
Explanation
A. Voluntary admission does not remove a patient’s right to refuse treatment; informed consent is still required for all medications and procedures.
B. Clients admitted voluntarily retain the right to make decisions about their care, including providing informed consent for treatments and medications. This statement accurately reflects the client’s rights.
C. Healthcare providers are not allowed to disclose patient admission information without consent; confidentiality is maintained.
D. Voluntary patients have the right to request discharge, usually with a short notice period, even before a formal discharge summary is completed.
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