A nurse asks a patient diagnosed with schizophrenia, What is ...

[rachel9]

A nurse asks a patient diagnosed with schizophrenia, What is meant by the old saying You can't judge a book by looking at the cover.'? Which response by the patient indicates concrete thinking?
 
  a. The table of contents tells what a book is about.
  b. You can't judge a book by looking at the cover.
  c. Things are not always as they first appear.
  d. Why are you asking me about books?

Question 2

A patient diagnosed with schizophrenia begins to talks about macnabs hiding in the warehouse at work. The term macnabs should be documented as:
 
  a. a neologism.
  b. concrete thinking.
  c. thought insertion.
  d. an idea of reference.

[sylvia]

Answer to Question 1

ANS: A
Concrete thinking refers to an impaired ability to think abstractly. Concreteness is often assessed through the patient's interpretation of proverbs. Concreteness reduces one's ability to understand and address abstract concepts such as love or the passage of time. The incorrect options illustrate echolalia, an unrelated question, and abstract thinking.

Answer to Question 2

ANS: A
A neologism is a newly coined word having special meaning to the patient. Macnabs is not a known common word. Concrete thinking refers to the inability to think abstractly. Thought insertion refers to thoughts of others are implanted in one's mind. Ideas of reference are a type of delusion in which trivial events are given personal significance.