Answer to Question 1
Ans: C
The client is exhibiting referential thinking, that is, the belief that neutral stimuli, such as the radio, have special meaning to that person, such that the radio commentator is talking directly to him. Autistic thinking involves restriction of thinking to the literal and immediate, so that the individual has private rules of logic and reasoning that make no sense to anyone else. Concrete thinking reflects a lack of abstraction in thinking with the inability to understand punch lines, metaphors, and analogies. Illusional thinking occurs when a person misperceives or exaggerates stimuli that actually exist in the external environment.
Answer to Question 2
Ans: D
The nurse should document the client's speech pattern as echolalia, or parrot-like and inappropriate repetition of another's words. Echopraxia refers to an involuntary imitation of another person's movements or gestures. Neologisms are made-up words that have no common meaning and are not recognized. Tangentiality is a disorganized thinking pattern in which the topic of conversation changes to an entirely different topic; the change is a logical progression but causes a permanent detour from the original focus.
The grey nurse shark is critically endangered on the Australian east coast.
The tone of the nurse-patient introduction sets the stage for the patient interview and patient care
Client on IV patient-controlled analgesia (PCA).
Client and therapist positioning for foot reflexology.
Measuring the client’s weight with a standard platform scale
Testing the client’s ability to feel vibrations, the knee