A nurse overhears a client diagnosed with schizophrenia talking to herself. The client keeps stating, "The flakalas are here. The flakalas are here." The nurse should recognize the client's use of the word "flakala" as an example of which of the following alterations in speech?
Associative looseness
Tangentiality
Neologism
Circumstantiality
Choice C reason:
The Correct Answer is C
Choice A reason:
Associative looseness refers to a disorganized thought process where connections between ideas are unclear or illogical. The use of the word "flakala" does not demonstrate a loose association between ideas but rather the creation of a new word.
Choice B reason:
Tangentiality occurs when a person goes off on a tangent and does not return to the original topic. In this case, the client is not going off on a tangent but is repeatedly using a made-up word, which is indicative of neologism.
Choice C reason:
Neologism is the creation of new words that others may not understand. The client's use of "flakala" fits this definition, as it appears to be a word created by the client that is not part of standard language¹. This can be a sign of disorganized thinking, where the client's internal thoughts do not align with conventional language patterns.
Choice D reason:
Circumstantiality involves providing unnecessary detail that makes communication less efficient but eventually returns to the original point. The client's statement does not include unnecessary details; it is the repetition of a newly created word, suggesting neologism.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A reason:
Associative looseness refers to a disorganized thought process where connections between ideas are unclear or illogical. The use of the word "flakala" does not demonstrate a loose association between ideas but rather the creation of a new word.
Choice B reason:
Tangentiality occurs when a person goes off on a tangent and does not return to the original topic. In this case, the client is not going off on a tangent but is repeatedly using a made-up word, which is indicative of neologism.
Choice C reason:
Neologism is the creation of new words that others may not understand. The client's use of "flakala" fits this definition, as it appears to be a word created by the client that is not part of standard language¹. This can be a sign of disorganized thinking, where the client's internal thoughts do not align with conventional language patterns.
Choice D reason:
Circumstantiality involves providing unnecessary detail that makes communication less efficient but eventually returns to the original point. The client's statement does not include unnecessary details; it is the repetition of a newly created word, suggesting neologism.
Correct Answer is D
Explanation
Choice A reason:
Telling the client to call their boss and ask for their job back may not be the most supportive response. It could add stress by suggesting immediate action when the client may not be in a position to address the issue effectively due to their hospitalization.
Choice B reason:
This response might come across as dismissive, implying that the client's concerns are not valid or important. It does not offer emotional support or acknowledge the client's feelings about the situation.
Choice C reason:
Questioning why the partner would share such upsetting news does not provide comfort or support to the client. It could potentially create additional stress by introducing doubts about the partner's intentions.
Choice D reason:
This empathetic response acknowledges the client's likely emotional reaction to the news. It validates the client's feelings without making assumptions or judgments about the situation, which is an important aspect of nurse-client communication.
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