A nursing student observed an admission assessment between a…

A nursing student observed an admission assessment between a patient and a mental health nurse on the unit. The nursing student heard the patient say: “I can hear some birds outside the window now, but do you know about the secret portals to parallel universes, and if you put a rubber duck in a blender, you can make the good blue Jell-O like they had during World War III? But I lost my favorite pen and the mailman can’t help with watering my plants while I am here”. Due to the illogical sequence of topics, the nursing student would expect which thought process to be noted in the patient’s chart?