Questions and Answers
What is flight of ideas?
Associative looseness can be seen in which condition?
What does circumstantiality refer to?
The use of extraneous words and long, tedious descriptions.
What is tangentiality?
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Define neologisms.
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What is concrete thinking?
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What are clang associations?
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What is word salad?
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Define perseveration.
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What does echolalia mean?
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What is a delusion?
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What are persecutory/paranoid delusions?
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Define grandiose delusion.
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What is reference delusion?
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What are nihilistic delusions?
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Define obsession.
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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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Test your knowledge of key mental health nursing terms with this quiz. Each flashcard presents definitions and concepts essential for understanding various conditions such as bipolar disorder. Great for nursing students and mental health professionals looking to reinforce their vocabulary.