During an admission assessment, a nurse asks a client diagnosed with schizophrenia, "Have you ever felt that certain objects or persons have control over your behavior?" The nurse is assessing for which type of thought disruption?

Correct Answer: B

Rationale: The correct answer is B: Delusions of influence. This type of delusion involves the belief that external forces are controlling one's thoughts or actions. In this scenario, the nurse is specifically asking about the client's perception of objects or persons having control over their behavior, which aligns with delusions of influence. A: Delusions of persecution involve the belief that one is being targeted or harmed by others. C: Delusions of reference involve the belief that neutral events or objects have personal significance. D: Delusions of grandeur involve an exaggerated sense of importance or power. In summary, the nurse's question is assessing for delusions of influence because it directly pertains to the client's belief about external control over their behavior, distinguishing it from the other types of delusions mentioned.

Correct Answer: C

Rationale: The correct answer is C. Prioritizing the patients' needs and identifying a specific time period for care for each patient is the most effective way for the nurse to cope with the patient care assignment. By organizing and scheduling care, the nurse can ensure that all patients receive appropriate attention without feeling overwhelmed. Option A is incorrect because sharing complaints with the nurse manager may not directly address the issue of coping with the assignment. Option B is incorrect as it does not provide a structured approach to managing the workload. Option D is incorrect as it does not address the underlying issue of time management and prioritization.

Correct Answer: A

Rationale: The correct answer is A: Chronic grief. Chronic grief is prolonged and persists over a long period of time, often lasting beyond what is considered normal. In this scenario, the client is still grieving her deceased husband after five years, indicating a prolonged and ongoing grieving process. B: Delayed grief refers to a situation where the individual postpones or suppresses their grief initially, but eventually experiences it. C: Masked grief involves expressing grief through other behaviors or emotions, rather than directly acknowledging the loss. D: Uncomplicated grief is a normal and healthy response to loss without any complicating factors. In this case, the grief has persisted for an extended period, indicating it is not uncomplicated.

Correct Answer: A

Rationale: Step 1: 'No religious preference' implies the client does not adhere to a specific religious faith. Step 2: This suggests the client does not follow the tenets or beliefs of any particular religion. Step 3: Therefore, choice A is correct as it aligns with the client's lack of affiliation with a specific faith. Summary: Choice A is correct because the client's statement indicates a lack of alignment with a specific religious faith, ruling out choices B, C, and D which make assumptions about the client's beliefs or actions.

Correct Answer: D

Rationale: The correct answer is D: Role performance. Role performance refers to our ability to fulfill societal expectations for specific roles. It involves behaving in ways expected by society based on our roles. Body image (A) relates to how we perceive our physical appearance. Role conflict (B) occurs when we have difficulty meeting the expectations of different roles. Personal identity (C) refers to our sense of self and how we define ourselves. In this context, role performance best captures the idea of executing societal expectations for role-specific behaviors.