Which nursing documentation entry accurately describes a client's use of confabulation?
"Attempts to communicate by using rhyming words."
"Nonverbals indicate communication with unseen others."
"Verbalizes happiness about trip to park which was not based in fact."
"Rambles about early childhood experiences jumping from topic to topic."
The Correct Answer is C
Confabulation involves the fabrication of details or events to fill in gaps in memory. In this case, the client is expressing happiness about a trip to the park that did not actually occur, which is an example of confabulation.
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Related Questions
Correct Answer is C
Explanation
A) Incorrect. Isolating the client in his room may escalate the situation or make the client feel isolated and misunderstood.
B) Incorrect. Asking the client to stop talking may be perceived as confrontational and could potentially agitate the client further.
C) Correct. Speaking slowly and in a quiet voice can help the client focus and may reduce the flight of ideas. This calm approach can be grounding for the client.
D) Incorrect. Encouraging the client to talk more may exacerbate the flight of ideas and the manic state.
Correct Answer is D
Explanation
A. This option describes a feeling of burden, but it doesn't specifically address persecution.
B. This option describes a delusion involving a familial relationship with a public figure, but it doesn't specifically address persecution.
C. This option describes a command hallucination, which can be related to violence, but it doesn't directly address feeling persecuted.
D. This option directly addresses the feeling of persecution by believing a powerful agency is actively seeking to harm the client.
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