Throughout the assessment, the client displays disorganized thinking, jumping from one idea to another with no clear relationship between the thoughts. The nurse would assess the client as having which of the following?
A) Concrete thoughts
B) Ideas of reference
C) Loose associations
D) Word salad
Question 2
While interviewing a client diagnosed with a delusional disorder, the client states, I have this really strange odor coming out of my mouth.
I stop to brush my teeth almost every hour and then rinse with mouthwash every half hour to get rid of this smell. I've seen so many doctors, and they can't tell me what's wrong. The nurse interprets the client's statement as reflecting which type of delusion?
A) Erotomanic
B) Grandiose
C) Somatic
D) Jealous
Fall assessment tool
Assessment of characteristic odors
Patient teaching: male genetalia assessment
Critical Thinking Model
Example of simplified note for one-time client.
A hot stone placed under the client’s neck.