Caring for some1 who has a thought disorder activity

Kneels to pray in front of water fountain; prays during group therapy and during other activity

religiosity

Refuses to eat food that comes on tray stating “They are trying to poison me”

paranoia

“When I get out of the hospital, I'm going to buy me a sprongle”

neologism

Communicates with very little content. Answers yes, no, or a few words

alogia

Keeps arm in the position nurse left it after taking a blood pressure. assumes this position for hours

waxy flexibility

“When I speak, presidents and Kings listen”

Grandiose delusion

An avid reader no longer enjoys reading

anhedonia

“Im going to the circus. Jesus is God. The police are playing for keeps.”

Loose associations

“We can’t close the drapes, for if we do, the sun won’t shine”

Magical thinking

“Test, test, this is a test. I do not jest. We get no rest”

clang associations

Laughs when told their mother just died

inappropriate affect

In response to stressful situations, begins to suck thus and soils clothing

regression

“Get by for anyone just answer fortune cookies”

Word salad

Fails to make an appointment to see doctor or dentist

Avolition - lack of motivation

Stops talking mid sentence, tilts head to side to listen

hallucination

“Sandra its time for dinner.” Sandra responds, “Time for dinner, time for dinner, time for dinner.”

echolalia

“I don’t need medication. There is nothing wrong with me.”

lack of insight and/or denial

Appears disinterested in everything around them

apathy

Begins to pace floor and picks up a chair, threatening to throw it towards the nurse.

Aggression

Priority concerns for a client with a thought disorder

• aggression management - safety

• disinterests

• medication adherence

Nurses immediate actions for client with thought disorder

• No arguing

• Comfort

• Neutral, calm, quiet voice

• Stand a bit far from pt - think about your safety