Author Question: A nurse who provides care at a community mental health center (CMHC) is conducting an assessment of ... (Read 87 times)

CBme · **on:** Jul 19, 2018

A nurse who provides care at a community mental health center (CMHC) is conducting an assessment of a new client who has long-standing diagnosis of major depression. How can the nurse best assess the client's perspective of her mental health problem?

A) Have you had any thoughts of suicide in the past 24 hours?
B) Do you have a family history of depression?
C) Have you been taking your medications consistently?
D) What do you think has contributed to your depression in the past?

Question 2

A manic client recently admitted to a locked ward in the psychiatric unit is talking with the nurse. He states, The car is red. Are you ready for lunch? My head is hurting. Dogs bark loud. The client is exhibiting which type of speech?

A) Echolalia
B) Clang association
C) Neologism
D) Looseness of association

Koolkid240 · **Reply #1 on:** Jul 19, 2018

Answer to Question 1

Ans: D
Asking for a client's explanation of the etiology and contributing factors to his or her disease can provide insight into the client's overall perspective of the illness. Questions about medications, family history, and medication use are appropriate assessment questions, but they do not ascertain the client's perspective of her illness.

Answer to Question 2

Ans: D
Looseness of association is a disturbance of thinking shown by speech in which ideas shift from one unrelated, or minimally unrelated, subject to another. Echolalia is the parrot-like repetition of overheard words or phrases. Clang association is a type of thinking in which the sound of a word (rhyming) substitutes for logic during communication. Neologism describes the use of a new word or combination of several words coined or self-invented by a person and not readily understood by others.