During a mental status examination, a patient rapidly shifts from talking about a neighbour to discussing the weather, then to buying a car, without a clear connection. Which finding should the nurse document?
Correct answer: A. Loose associations in the thought process
- A. Loose associations in the thought process
- B. Restricted range in the emotional affect
- C. Auditory hallucinations in perception
- D. Short-term memory loss in cognition
Explanation
Loose associations describe a weak or unclear connection between ideas. The other options concern emotion, perception, and memory, not the organization of speech and thought.
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About Foundations of Mental Health Nursing
Mental health nursing covers concepts of normal and abnormal behavior, major psychological theories, psychiatric assessment, the nurse’s therapeutic role, and the use of a safe therapeutic milieu. It also includes confidentiality, informed consent, patient rights, ethical decision-making, legal responsibilities, and individualized nursing care planning.
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