During the admission interview for a client with schizophrenia the nurse asks the client "tell me the names of the medications you are currently taking. The client responds, medications, abbreviations, deviations, mediations." The nurse will document which form of speech pattern the client is demonstrating?

Neologisms

Echolalia

Pressured speech

Clang association

Answer and Explanation

The Correct Answer is D

A. Neologisms.
These are made-up words or phrases that only have meaning to the person using them.
B. Echolalia:
This involves the repetition or echoing of words or phrases spoken by others.
C. Pressured speech:
Pressured speech is a rapid and continuous flow of speech with an increased volume and a sense of urgency. The client's response is not indicative of pressured speech.
D. Clang association:
refers to a speech pattern where the client's words are chosen based on their sounds rather than their meaning, often resulting in rhyming or similar-sounding words that don't make logical sense together. In this case, the client is using words that rhyme with "medications" (e.g., "abbreviations," "deviations," "mediations").

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Correct Answer is D

Explanation

A.This response is not appropriate because it does not address the client’s confusion or provide orientation. It may also increase the client’s agitation by suggesting an activity that is not relevant to their immediate concern.

B.This response is dismissive and does not acknowledge the client’s distress or confusion. It fails to provide orientation or reassurance, which are crucial in managing delirium.

C.While this response provides some information about safety, it does not orient the client to their current situation or address their immediate concern. It may also increase the client’s anxiety by focusing on the restriction rather than offering reassurance.

D.This is the most therapeutic response as it provides clear, factual information that helps orient the client to their current situation. It reassures the client by reminding them that they are in a safe place and under the care of a nurse, which can help reduce confusion and anxiety.

A. Place metal utensils on the client's meal tray. B. Assign the client to a private room. C. Inspect the client's personal belongings. D. Tuck bedcovers over clients hands and arms

Correct Answer is C

Explanation

A. "Place metal utensils on the client's meal tray" - This action is not appropriate when a client has a recent suicide attempt, as it poses a potential safety risk. Sharp objects like metal utensils should be avoided in such cases.
B. "Assign the client to a private room" - While privacy can be important, it's essential to ensure that the client's safety is a top priority. Placing the client in a private room might hinder the ability to closely monitor the client's safety.
C. "Inspect the client's personal belongings" - This is the correct choice. After a suicide attempt, it's essential to inspect the client's personal belongings to ensure there are no items that could be used to harm themselves. This helps in maintaining the client's safety.
D. "Tuck bedcovers over clients' hands and arms" - Tucking in the bedcovers in this manner is not directly related to ensuring the client's safety after a suicide attempt. The focus should be on assessing and removing potential hazards from the client's environment.

In summary, option C is the most appropriate action as it prioritizes the client's safety by inspecting personal belongings for potentially harmful items.

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Naxlex Comprehensive Predictor Exams

Correct Answer is D

Explanation

A nurse is caring for a client diagnosed with schizophrenia following a recent suicide attempt. Which of the following actions should the nurse take?

Correct Answer is C

Explanation

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