JERSEY COLLEGE PSYCH PREP U CHP 8 ASSESSMENT STUDY
GUIDE WITH COMPLETE SOLUTION!!
The psychiatric nurse correctly identifies the client's form of communication as
circumstantiality when the client does what?
Answers Provides long, irrelevant explanations when asked why the client abuses
alcohol.
The nurse is preparing to assess a client's remote memory. Which questions would
be most appropriate for the nurse to ask?
Answers "When did you get your first job?"
The nurse is preparing to perform a psychosocial assessment of a client with
schizophrenia. The client has a history of extreme aggression. What is the optimal
setting for conducting an interview with the client?
Answers A physician's intake room with other medical personnel nearby.
A nurse is assessing a hospitalized client who is hearing voices due to psychosis.
The client is easily distracted, and this is creating a barrier to completing the
assessment. What is the most effective way for the nurse to proceed?
Answers Complete the assessment in several short interactions.
How should the nurse describe the mood and affect of a client who has a mask-like
facial expression but states, "I'm really happy"?
Answers Incongruent
As the nurse is conducting an interview with a client with a diagnosis of
schizophrenia, the client states, "Bunnies are cute as a button, buttons are on my
shirt, shirts can be bought in a store." Which is a term used to describe this thought
process?
, Answers Loose associations
In some cases a client presents several thoughts that don't make sense in
conjunction with one another. This is often seen in clients with acute exacerbations
of schizophrenia and is described as loose association.
A nurse assesses a 29-year-old client in the outpatient mental health clinic. The
nurse notes the client is speaking very quickly and jumping from topic to topic
very rapidly. There is some connection between ideas, but they are difficult to
follow. Which term most accurately describes this thought process?
Answers Flight of ideas
This represents flight of ideas, because the ideas are connected in some logical
way. Derailment, or loosening of associations, has more disconnection within
clauses. Circumstantiality is characterized by the patient speaking "around" the
subject and using excessive detail, though thoughts are meaningfully connected.
Incoherence lacks meaningful connection and often has odd grammar or word use.
Although severe flight of ideas can produce this condition, evidence is not present
in this vignette.
The nurse is preparing to perform a psychosocial assessment of a client with
schizophrenia. The client has a history of extreme aggression. What is the optimal
setting for conducting an interview with the client?
Answers A physician's intake room with other medical personnel nearby.
GUIDE WITH COMPLETE SOLUTION!!
The psychiatric nurse correctly identifies the client's form of communication as
circumstantiality when the client does what?
Answers Provides long, irrelevant explanations when asked why the client abuses
alcohol.
The nurse is preparing to assess a client's remote memory. Which questions would
be most appropriate for the nurse to ask?
Answers "When did you get your first job?"
The nurse is preparing to perform a psychosocial assessment of a client with
schizophrenia. The client has a history of extreme aggression. What is the optimal
setting for conducting an interview with the client?
Answers A physician's intake room with other medical personnel nearby.
A nurse is assessing a hospitalized client who is hearing voices due to psychosis.
The client is easily distracted, and this is creating a barrier to completing the
assessment. What is the most effective way for the nurse to proceed?
Answers Complete the assessment in several short interactions.
How should the nurse describe the mood and affect of a client who has a mask-like
facial expression but states, "I'm really happy"?
Answers Incongruent
As the nurse is conducting an interview with a client with a diagnosis of
schizophrenia, the client states, "Bunnies are cute as a button, buttons are on my
shirt, shirts can be bought in a store." Which is a term used to describe this thought
process?
, Answers Loose associations
In some cases a client presents several thoughts that don't make sense in
conjunction with one another. This is often seen in clients with acute exacerbations
of schizophrenia and is described as loose association.
A nurse assesses a 29-year-old client in the outpatient mental health clinic. The
nurse notes the client is speaking very quickly and jumping from topic to topic
very rapidly. There is some connection between ideas, but they are difficult to
follow. Which term most accurately describes this thought process?
Answers Flight of ideas
This represents flight of ideas, because the ideas are connected in some logical
way. Derailment, or loosening of associations, has more disconnection within
clauses. Circumstantiality is characterized by the patient speaking "around" the
subject and using excessive detail, though thoughts are meaningfully connected.
Incoherence lacks meaningful connection and often has odd grammar or word use.
Although severe flight of ideas can produce this condition, evidence is not present
in this vignette.
The nurse is preparing to perform a psychosocial assessment of a client with
schizophrenia. The client has a history of extreme aggression. What is the optimal
setting for conducting an interview with the client?
Answers A physician's intake room with other medical personnel nearby.
