A client on an acute mental health unit states to a nurse. "Tie a bow. Row the boat. Now I know. Whoa! I see you, yo." The nurse should document that the client is exhibiting which of the following speech alterations?

Echolalia

Word salad

Clang association

Neologisms

Answer and Explanation

The Correct Answer is C

A. Echolalia refers to the repetition of words spoken by another person.

B. Word salad is a mix of random, unrelated words with no logical connection.

C. This is the correct answer. Clang association involves rhyming words that are spoken together without meaningful connections, as seen in the client's statement.

D. Neologisms are made-up words that have meaning only to the individual.

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Correct Answer is D

Explanation

A. A referral to long-term care is premature since the client lives independently and may not require institutionalized care.

B. Assisted living accommodations are not necessary unless the client struggles with self-care or safety concerns.

C. Adult day care is beneficial for socialization but does not address the primary issue of diabetes management in a rural setting.

D. Telehealth services allow clients in rural areas to consult with healthcare providers remotely, improving access to care, medication management, and education on diabetes self-care.

A. Tachycardia B. Hearing loss C. Insomnia D. Blurred vision

Correct Answer is D

Explanation

A. Tachycardia – Digoxin toxicity typically causes bradycardia, not tachycardia, due to its effect on the AV node.

B. Hearing loss – Digoxin does not commonly cause hearing loss; ototoxicity is more associated with aminoglycoside antibiotics.

C. Insomnia – While some neurological symptoms may occur, insomnia is not a classic sign of digoxin toxicity.

D. Blurred vision – This is the correct answer. Digoxin toxicity can cause visual disturbances such as blurred vision, yellow-green halos, and scotomas. Other signs include nausea, vomiting, anorexia, fatigue, and cardiac arrhythmias.

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A client on an acute mental health unit states to a nurse. "Tie a bow. Row the boat. Now I know. Whoa! I see you, yo." The nurse should document that the client is exhibiting which of the following speech alterations?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A community health nurse is developing a plan of care for an older adult client who has type 2 diabetes mellitus and lives independently in a rural area. Which of the following interventions should the nurse include?

Correct Answer is D

Explanation

A nurse is assessing a client who is taking digoxin to treat chronic heart failure. Which of the following findings should indicate to the nurse that the client is developing digoxin toxicity?

Correct Answer is D

Explanation

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