Practice Quiz

NCLEX-PN

Category - Psychosocial Integrity

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A client is admitted in the unit with a diagnosis of undifferentiated schizophrenia. On assessment, the nurse notes that the client is showing signs of looseness of association if which of the following statements is made by the client?
  1. “I can’t say anything. This area is tapped by the CIA.”
  2. “I like the beach. The Pacific Ocean is the largest ocean. Have you ever been to Australia?”
  3. “I sang to make a bang but the phone rang.”
  4. “I like apples. I just can’t think. I think I want to be a nurse, too.”
Explanation
Answer: B - Looseness of association is the stringing of unrelated topics with a vague connection, which is demonstrated by the client. Option A demonstrates delusions, option C demonstrates clanging association, and option D shows flight of ideas. Flight of ideas and clanging of association are characterized by fragmented and unconnected topics.
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