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The nurse assesses the speech pattern of the patient’s:

A.

Thought content

B.

Thought process

C.

Affect

Answer and Explanation

The Correct Answer is B

Choice A reason:

Thought content refers to the actual ideas and themes that a person expresses. It includes what the person is thinking about, such as delusions, obsessions, or preoccupations. Assessing thought content involves understanding the specific topics and beliefs the patient discusses.

 

Choice B reason:

Thought process refers to the way in which thoughts are organized and connected. Describing a patient’s speech as hesitant, slow, and with thought blocking indicates issues with the thought process. Thought blocking, where a person’s speech is interrupted by sudden silences, suggests difficulty in maintaining a coherent flow of ideas.

 

Choice C reason:

Affect refers to the observable expression of emotion. It includes the patient’s facial expressions, tone of voice, and body language. While affect can provide clues about a person’s emotional state, it does not directly relate to the organization of their thoughts.

 

Choice D reason:

Mood refers to the patient’s sustained emotional state, such as feeling depressed, anxious, or euphoric. While mood can influence speech patterns, the description of hesitant, slow speech with thought blocking specifically pertains to thought process rather than mood.


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View Related questions

Correct Answer is ["A","C","D"]

Explanation

Choice A reason:

“Do you feel your life is empty?” is a relevant question on the geriatric depression scale. Feelings of emptiness can indicate depression, especially in older adults who may experience significant life changes and losses.

Choice B reason:

“Are you on a low cholesterol diet?” is not a relevant question for assessing depression. This question pertains to dietary habits and cardiovascular health rather than mental health.

Choice C reason:

“Have you dropped your activities or interests?” is a pertinent question on the geriatric depression scale. A loss of interest in activities that were once enjoyable is a common symptom of depression.

Choice D reason:

“Do you feel happy most of the time?” is a relevant question on the geriatric depression scale. Assessing overall happiness helps identify depressive symptoms, as individuals with depression often report feeling unhappy or sad most of the time.

Correct Answer is C

Explanation

Choice A reason:

Sleeping 4 hours each night is not an indication that the patient’s mood is improving. In fact, inadequate sleep can be a sign of ongoing depression or anxiety. Recovery from a suicide attempt typically involves improvements in sleep patterns, energy levels, and engagement in daily activities.

Choice B reason:

Showing a lack of energy with activities suggests that the patient is still experiencing depressive symptoms. Recovery from depression and suicidal ideation generally includes an increase in energy and participation in activities.

Choice C reason:

Discussing ways to find an outpatient therapist with a social worker indicates that the patient is taking proactive steps towards recovery. This behavior shows that the patient is engaging in their treatment plan, seeking support, and planning for ongoing care, all of which are positive signs of mood improvement.

Choice D reason:

Refusing to talk to staff or family is a sign that the patient may still be struggling with depressive symptoms and social withdrawal. Effective recovery involves open communication and support from healthcare providers and loved ones.

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