During the mental status examination, the nurse observes that the client rapidly changes from one idea to another related thought. Which disordered thinking process is the client displaying?
Ideas of reference
Flight of ideas
Confabulation
Perseveration
The Correct Answer is B
Choice A rationale: this is a type of delusion involving the misinterpretation of random events as having personal significance or reference.
Choice B rationale: flight of ideas refers to a disordered thinking process involving rapid shifts from one topic to another. The client’s speech is often incoherent and difficult to follow.
Choice C rationale: this is a type of memory distortion involving the fabrication of stories or details to fill the gaps in an individual’s memory. Usually occurs in conditions such as dementia, substance abuse, and brain damage.
Choice D rationale: this refers to the repetition of the same word, phrase, or action over and over without being able to stop or switch to something else. Occurs in conditions such as schizophrenia, brain injury, or a stroke.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A rationale: Benzodiazepines typically have a relatively rapid onset of action, usually within a few minutes to hours after taking the drug hence making them effective for the management of anxiety and panic attacks.
Choice B rationale: While benzodiazepines may have side effects, serious side effects are not a major disadvantage when compared to the risk of dependency.
Choice C rationale: Benzodiazepines are a well-researched class of medications and are not considered "new to the market since they have been in use since the 1960s.
Choice D rationale: Benzodiazepines have the potential for dependency and tolerance with long-term use. They are generally recommended for short-term use due to the risk of developing a physical and psychological dependence hence the drug should only be used under the guidance of a qualified healthcare professional.
Correct Answer is D
Explanation
Choice A rationale: Mood stabilizers are drugs that help regulate the mood swings of bipolar disorder and other conditions. They include lithium, valproate, carbamazepine, and lamotrigine.
Choice B rationale: Antipsychotics are drugs that reduce the symptoms of psychosis, such as hallucinations, delusions, paranoia, and disorganized thinking. They include chlorpromazine, haloperidol, risperidone, olanzapine, and quetiapine.
Choice C rationale: Antidepressants are drugs that improve mood and reduce the symptoms of depression, such as low energy, sadness, hopelessness, and loss of interest. They include selective serotonin reuptake inhibitors (SSRIs), serotonin-norepinephrine reuptake inhibitors (SNRIs), tricyclic antidepressants (TCAs), and monoamine oxidase inhibitors (MAOIs).
Choice D rationale: Benzodiazepines are a class of drugs that act on the gamma-aminobutyric acid (GABA) receptors in the brain, producing a calming and sedative effect. They are used to treat anxiety disorders, panic attacks, insomnia, seizures, and alcohol withdrawal. They include drugs such as lorazepam, diazepam and clonazepam.
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