A nurse in an acute care facility is assessing a client who has schizophrenia. The client states, "Walk tall broom short dog bell." The nurse should document the client's speech as which of the following speech patterns?

Flight of ideas.

Word salad.

Neologisms.

Clang associations.

Answer and Explanation

The Correct Answer is B

A reason: Flight of ideas. Flight of ideas is characterized by rapid shifts from one topic to another, often with a logical connection between the topics. The client's statement does not exhibit this pattern and is more disorganized.

B reason: Word salad. Word salad refers to a jumble of words and phrases that are incoherent and lack meaningful connections. The client's statement, "Walk tall broom short dog bell," fits this description, as it is a nonsensical combination of words.

C reason: Neologisms. Neologisms are newly created words that have meaning only to the person who uses them. The client's statement does not include any new or invented words, making this choice inappropriate.

D reason: Clang associations. Clang associations involve the use of words based on their sound rather than their meaning, often rhyming or having a similar beginning sound. The client's statement does not exhibit this pattern.

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Correct Answer is B

Explanation

A reason: Reach to Recovery. Reach to Recovery is a program designed to support individuals who have had breast cancer, providing them with support and resources. It is not relevant to clients recovering from alcohol withdrawal.

B reason: A 12-step program. A 12-step program, such as Alcoholics Anonymous (AA), is specifically designed to support individuals recovering from alcohol addiction. These programs offer a structured approach to recovery, providing peer support, guidance, and strategies to maintain sobriety.

C reason: Al-Anon. Al-Anon is a support group for friends and family members of individuals struggling with alcohol addiction. While it offers valuable support to those affected by someone else's drinking, it is not the primary resource for the client who is recovering from alcohol withdrawal.

D reason: Light therapy. Light therapy is used to treat conditions like seasonal affective disorder (SAD) and other mood disorders. It is not applicable for addressing alcohol withdrawal or supporting long-term recovery from alcohol addiction.

A. Spending equal time with clients regardless of their insurance status. B. Explaining possible adverse effects to clients receiving new prescriptions. C. Respecting the decision of clients to refuse to participate in group therapy. D. Attending an educational conference on identifying clients at risk for suicide.

Correct Answer is C

Explanation

A reason: Spending equal time with clients regardless of their insurance status. This action is an example of justice, which involves providing fair and equal treatment to all clients.

B reason: Explaining possible adverse effects to clients receiving new prescriptions. This action is an example of veracity, which involves being honest and providing accurate information to clients.

C reason: Respecting the decision of clients to refuse to participate in group therapy. This action exemplifies fidelity, which involves being faithful to commitments and respecting the client's autonomy and decisions, even when they choose to refuse treatment or participation.

D reason: Attending an educational conference on identifying clients at risk for suicide. This action demonstrates a commitment to professional development and competence, but it does not specifically exemplify the ethical concept of fidelity in client care.

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A nurse in an acute care facility is assessing a client who has schizophrenia. The client states, "Walk tall broom short dog bell." The nurse should document the client's speech as which of the following speech patterns?

Nursing Test Bank

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