A client with the diagnosis of schizophrenia, disorganized type, ...

[stevenposner]

A client with the diagnosis of schizophrenia, disorganized type, approaches the nurse and says It's
  beat, it's eat. No room. The cat.. The nurse can correctly assess this verbalization as
 
  a. neologisms.
  b. ideas of reference.
  c. thought broadcasting.
  d. associative looseness.

Question 2

Staff nurse A goes off duty, having forgotten to document administration of a prn medication to a
  client.
 
  She calls the unit and asks staff nurse B to use his personal password to access the medical
  record and document the administration of the medication. Nurse B is not authorized to enter that
  client's computerized medical record. Nurse B should
  a. make an exception and fulfill the request.
  b. refer the matter to the charge nurse to resolve.
  c. report the request to the client's physician.
  d. seek access to the record from the hospital's information systems department.

[lkoler]

Answer to Question 1

D
Looseness of association refers to jumbled thoughts that are often incoherently expressed to the
listener. Option A: Neologisms are newly coined words. Option B: Ideas of reference are a type of
delusion. Option C: Thought broadcasting is the belief that others can hear one's thoughts.

Answer to Question 2

ANS: B
At most hospitals, termination is a possible penalty for unauthorized entry into a client record.
Referring the matter to the charge nurse will allow observance of hospital policy while ensuring that
documentation occurs. Option A puts staff nurse B in jeopardy. Option C would be unnecessary.
Option D would be unnecessary when the charge nurse can resolve the problem.