A nurse is working with a client who is diagnosed with schizophrenia. During the admission assessment, the client says, “I’m just here to do undercover work. I’m the head of the FBI, I’ve worked closely with every president since Reagan.” This statement is an example of what symptom of schizophrenia?
Explanation & Rationale
A: Circumstantiality involves excessive and unnecessary detail in conversation, eventually reaching the point. It is not related to the content of the client’s statement, which is more about delusional thinking. B: Echolalia is the repetition of another person’s spoken words. It does not apply to the client’s statement, which is an original delusional claim. C: Grandiose delusions are false beliefs of exceptional abilities, wealth, or fame. The client’s claim of being the head of the FBI and working with presidents is a clear example of a grandiose delusion, reflecting an inflated sense of self-importance and unrealistic achievements. D: Depersonalization involves feelings of detachment from oneself, as if observing oneself from outside the body. This symptom does not fit the client’s statement, which is more about delusional beliefs. E: Magical thinking involves believing that one’s thoughts or actions can influence events in a way that defies the laws of cause and effect. The client’s statement does not reflect magical thinking but rather grandiose delusions.