06-25-2010, 04:06 AM
A 24-year-old man was recently hospitalized in a psychiatric unit, where he was started on olanzapine. Upon visiting his new primary care physician for a routine physical examination prior to participating in a vocational rehabilitation program, his physician notices that his thoughts are quite illogical. For example, when she asks the young man what sort of employment he hopes to work toward, he answers, "if you subtract some yellow from the sky, it becomes greener." After a brief silence, he then states, "telephone bills should never exceed twenty dollars ... according to the Book of Numbers." Which mental status examination finding most accurately describes this patient's thought processes?
A. Clang associations
B. Concrete thinking
C. Loose associations
D. Tangential thoughts
E. Thought blocking
A. Clang associations
B. Concrete thinking
C. Loose associations
D. Tangential thoughts
E. Thought blocking