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Questions and Answers
What is flight of ideas?
What is flight of ideas?
- Disorganized thinking with related ideas
- A combination of jumbled words and phrases
- Going on a tangent from a topic
- Excessive amount and rate of speech composed of fragmented or unrelated ideas (correct)
Associative looseness can be seen in which condition?
Associative looseness can be seen in which condition?
- Anxiety
- Bipolar disorder
- Depression
- Schizophrenia (correct)
What does circumstantiality refer to?
What does circumstantiality refer to?
The use of extraneous words and long, tedious descriptions.
What is tangentiality?
What is tangentiality?
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Define neologisms.
Define neologisms.
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What is concrete thinking?
What is concrete thinking?
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What are clang associations?
What are clang associations?
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What is word salad?
What is word salad?
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Define perseveration.
Define perseveration.
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What does echolalia mean?
What does echolalia mean?
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What is a delusion?
What is a delusion?
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What are persecutory/paranoid delusions?
What are persecutory/paranoid delusions?
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Define grandiose delusion.
Define grandiose delusion.
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What is reference delusion?
What is reference delusion?
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What are nihilistic delusions?
What are nihilistic delusions?
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Define obsession.
Define obsession.
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What does paranoia involve?
What does paranoia involve?
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Study Notes
Flight of Ideas
- Excessive rate of speech featuring fragmented or unrelated ideas.
- Commonly observed in bipolar disorder.
- Characteristic of mania with rapid topic changes based on associations.
Associative Looseness
- Disorganized thinking with abrupt transitions between ideas.
- Common in schizophrenia, with thoughts lacking logical connections.
- Example: Unrelated ideas presented together, such as "He went to the ballpark and bought Frank's beer belly home in a bag of grass seed."
Circumstantiality
- Involves excessive detail and long-winded descriptions.
- The speaker may avoid getting to the main point.
Tangentiality
- Involves digressing from the main topic by going off on tangents.
- Often associated with word associations.
Neologisms
- Created words that hold personal meaning for the individual.
- Example: Statements like "I'm afraid of grittiz," where "grittiz" is undefined for others.
Concrete Thinking
- Thinking characterized by literal interpretations of information.
- Abstraction and metaphorical reasoning are diminished or absent.
Clang Associations
- Connections between ideas based primarily on sound and rhyme.
- Common in conditions like Tourette's syndrome.
- Example: Rhyming phrases that lack logical meaning, such as "I will take a pill if I go up the hill..."
Word Salad
- Random assortment of words and phrases that is incoherent and confusing to listeners.
- Example: Disconnected phrases like "Corn, potatoes, jump up, play games..."
Perseveration
- Persistent focus on a single idea or topic with verbal repetition of phrases.
- The speaker often repeats words regardless of topic changes.
- Example: Client repeatedly stating concerns about being followed.
Echolalia
- Imitative behavior where the client replicates what the nurse says.
- Example: Repeating the nurse’s question verbatim.
Delusion
- Fixed, false beliefs that remain unchanged despite reasonable evidence to the contrary.
Persecutory/Paranoid Delusions
- Belief that others intend to harm, spy, or ridicule the individual.
- Clients may suspect poison in food or surveillance, sometimes naming specific "persecutors."
Grandiose Delusion
- Believing oneself to have extraordinary abilities or a close connection to famous individuals.
- Examples include claims of associations with celebrities or significant contributions like finding a cancer cure.
Reference Delusion
- Belief that external communications (like media) carry personal significance or messages.
- Example: Thinking news broadcasts are directly addressing the individual.
Nihilistic Delusions
- Believing that major bodily functions are failing or that parts of the body are decaying or disfigured.
- Thoughts may include feeling as if parts of oneself are dead.
Obsession
- Compulsive fixation on an idea or feeling, often accompanied by anxiety.
Paranoia
- Intense feelings of anxiety or fear related to perceived threats or conspiracies.
- Often manifest as a symptom of broader mental health issues.
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