When the nurse is assessing whether or not the client's ideas are logical and make sense, the nurse is examining which of the following?
Thought content
Thought process
Memory
Sensorium
The Correct Answer is B
A. Thought content: Thought content refers to the subject matter of what a person is thinking about, such as the presence of delusions or obsessions, but not necessarily whether their thoughts are logical.
B. Thought process: Thought process involves the way thoughts are organized and connected. Assessing if ideas are logical and make sense pertains to the thought process.
C. Memory: Memory pertains to the ability to recall information, not the logical consistency of thought processes.
D. Sensorium: Sensorium relates to the state of consciousness and awareness, not the logical structure of thoughts.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Ideas of reference: Ideas of reference involve the belief that common elements of the environment are directly related to oneself. The client’s belief that the group’s laughter is about them, despite unrelated content, fits this description.
B. Somatic delusion: Somatic delusions involve false beliefs about one's body or health. The client’s reaction is more related to perceived social interactions rather than beliefs about their own health.
C. Erotomania: Erotomania involves the belief that someone is in love with the individual, which is not relevant to the described situation.
D. Grandeur: Delusions of grandeur involve believing one has exceptional abilities or status. The client’s reaction does not fit this description.
Correct Answer is D
Explanation
A. "Why do you think you might have cancer when your diagnosis is a benign condition?" This response is not therapeutic as it questions the client’s concerns in a dismissive manner and could increase anxiety.
B. "I think that's something you need to discuss further with your doctor." This response deflects the issue to the doctor and does not provide immediate support or acknowledgment of the client's feelings.
C. "I have reviewed your history and I don't see any reason for you to worry about that." This response may minimize the client’s concerns and does not address the client's emotional state effectively.
D. "I'm hearing that you are concerned that you could have cancer."This is the most therapeutic response as it acknowledges the client’s fears and provides an opportunity for further discussion and emotional support.
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