Mental Health Question #4


The nurse is caring for a client with schizophrenia. The client stated, “I cannot justify how to judge. The meal flew away. You might have cat-eyes.” Which term will the nurse utilize to explain the client’s statement?


  1. Illusions of grandeur.
    • Rationale:
  2. Associative looseness.
    • Rationale:
  3. Circumstantial
    • Rationale:
  4. Ideas of reference.
    • Rationale:



The client has a lack of logical relationship between thoughts and ideas. Illusions of grandeur refer to grandiose behavior of being important. Circumstantial refers to thought and speech associated with excessive and unnecessary detail that might be relevant to the question but an answer will be finally given. Ideas of reference occur when there is a false belief that irrelevant occurrences or details in the world relate directly to oneself.

Learning Outcomes

Test Taking Tip

Video Rationale