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 D

Explanation

A reason: A client who has new-onset depression. While assertiveness training can be beneficial for clients with depression, it may not be the most immediate need for someone with new-onset depression. Initial treatment should focus on managing depressive symptoms.

B reason: A client who is experiencing auditory hallucinations. Clients experiencing active psychotic symptoms, such as auditory hallucinations, may have difficulty engaging in and benefiting from assertiveness training. Stabilizing their symptoms is the priority.

C reason: A client who is experiencing mania. Clients in a manic state may struggle to focus and participate effectively in assertiveness training. Managing manic symptoms is the primary concern for these individuals.

D reason: A client who has somatic symptom disorder. Clients with somatic symptom disorder often struggle with expressing their needs and feelings assertively. Assertiveness training can help them communicate more effectively and reduce the psychological distress associated with their physical symptoms.

A. Grandiosity. B. Flight of ideas. C. Splitting. D. Hyperactivity. E. Withdrawal.

Correct Answer is ["A","B","D"]

Explanation

A reason: Grandiosity. Grandiosity is a common behavior in manic episodes, where the individual may have an inflated sense of self-importance, abilities, or identity.

B reason: Flight of ideas. Flight of ideas involves rapidly shifting from one topic to another with little to no logical connection between them. This is a characteristic behavior during a manic episode.

C reason: Splitting. Splitting, or viewing others as all good or all bad, is more commonly associated with borderline personality disorder. It is not a typical behavior during a manic episode of bipolar disorder.

D reason: Hyperactivity. Hyperactivity, including increased energy, restlessness, and engaging in multiple activities simultaneously, is a hallmark of a manic episode.

E reason: Withdrawal. Withdrawal, or social isolation, is more characteristic of depressive episodes rather than manic episodes of bipolar disorder. During mania, individuals are more likely to be excessively social and active.

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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

Naxlex Comprehensive Predictor Exams

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Correct Answer is ["A","B","D"]

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