The nurse is asking a patient diagnosed with schizophrenia how they slept, and they respond, "This is a new day in May, and I can't wait to play." Which communication pattern does the nurse identify?

Neologism

Clang association

Tangentiality

Circumstantiality

Answer and Explanation

The Correct Answer is B

Choice A reason:

Neologism refers to the creation of new words or phrases that only have meaning to the individual using them. In the given scenario, the patient does not create new words but uses existing words in a rhyming pattern, which is not indicative of neologism.

Choice B reason:

Clang association is a speech pattern where words are chosen for their sound rather than their meaning, often resulting in rhyming or punning. The patient's response, "This is a new day in May, and I can't wait to play," demonstrates a focus on the rhyming sounds "-ay," which is characteristic of clang association.

Choice C reason:

Tangentiality occurs when a person goes off-topic without answering the original question, often never returning to the initial topic. While the patient's response is somewhat unrelated to the question about sleep, it does not represent a shift to a completely different topic or a failure to return to the original topic, which would be required to classify it as tangentiality.

Choice D reason:

Circumstantiality involves providing unnecessary detail that is often tedious and lengthy but eventually returns to answer the original question. The patient's response is brief and does not include excessive or irrelevant details, so it does not fit the definition of circumstantiality.

Nursing Test Bank

Quiz #1: RN Exams Pharmacology Exams Quiz #2: RN Exams Medical-Surgical Exams Quiz #3: RN Exams Fundamentals Exams Quiz #4: RN Exams Maternal-Newborn Exams Quiz #5: RN Exams Anatomy and Physiology Exams Quiz #6: RN Exams Obstetrics and Pediatrics Exams Quiz #7: RN Exams Fluid and Electrolytes Exams Quiz #8: RN Exams Community Health Exams Quiz #9: RN Exams Promoting Health across the lifespan Exams Quiz #10: RN Exams Multidimensional care Exams

Get 100+ Naxlex Exit Exams for $79 Try Naxlex NCLEX-RN (14 Day Free-Trial)

Naxlex Comprehensive Predictor Exams

Quiz #1: Naxlex RN Comprehensive online practice 2019 B with NGN Quiz #2: Naxlex RN Comprehensive Predictor 2023 Quiz #3: Naxlex RN Comprehensive Predictor 2023 Exit Exam A Quiz #4: Naxlex HESI Exit LPN Exam Quiz #5: Naxlex PN Comprehensive Predictor PN 2020 Quiz #6: Naxlex VATI PN Comprehensive Predictor 2020 Quiz #8: Naxlex PN Comprehensive Predictor 2023 - Exam 1 Quiz #10: Naxlex HESI PN Exit exam Quiz #11: Naxlex HESI PN EXIT Exam 2

Free Nursing Study Resources

Correct Answer is A

Explanation

Choice A Reason:

Attempting to climb out of bed and expressing an urgent need to get home can be indicative of delirium, especially in older adults. Delirium is characterized by an acute change in mental status, which includes confusion, disorientation, and a lack of awareness of one's surroundings¹². This behavior reflects the client's impaired perception of reality and potential disorientation to time and place, which are common in delirium.

Choice B Reason:

Refusal to get out of bed and a lack of motivation for personal hygiene could suggest depression or a physical ailment rather than delirium. While hypoactive delirium can present with decreased activity and apathy, it is also accompanied by other cognitive impairments, which are not mentioned in this choice.

Choice C Reason:

Wanting to know the current time despite the presence of a clock may indicate cognitive impairment, but it is not a definitive sign of delirium. It could be related to vision problems, lack of attention, or other cognitive issues not necessarily associated with delirium.

Choice D Reason:

Requesting extra blankets when the room is adequately warm might suggest discomfort or a subjective feeling of cold, which can be seen in various conditions, including infections or metabolic imbalances, but it is not specific to delirium.

A. Developing autonomy B. Resentment toward the mother C. An anxiety reaction D. Regression

Correct Answer is D

Explanation

Choice A reason:

Developing autonomy is a part of normal toddler development where they seek independence and control over their environment. The described behavior does not indicate a quest for autonomy but rather a response to stress or discomfort.

Choice B reason:

Resentment toward the mother is unlikely in this context. Toddlers may show signs of separation anxiety or distress when a parent leaves, but resentment is a complex emotion that is not typically within the emotional range of an 18-month-old.

Choice C reason:

An anxiety reaction is possible, as hospitalization can be a stressful experience for a toddler. However, the specific behaviors of thumb-sucking and turning away when approached are more indicative of regression, a return to earlier stages of development, as a coping mechanism.

Choice D reason:

Regression is a defense mechanism in which a child reverts to behaviors that are typical of an earlier developmental stage when faced with stress. Hospitalization can be a traumatic experience for a toddler, and behaviors such as thumb-sucking and withdrawal are common regressive responses as they seek comfort.

View Question and Answer

Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.

Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today

The nurse is asking a patient diagnosed with schizophrenia how they slept, and they respond, "This is a new day in May, and I can't wait to play." Which communication pattern does the nurse identify?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a group of older adult clients. Which of the following manifestations indicates one of the clients is experiencing delirium?

Correct Answer is A

Explanation

Correct Answer is D

Explanation

A nurse is caring for a client who has been diagnosed with end-stage liver cancer. The nurse recognizes that which of the following responses is an indication that the client is in the denial phase of the grief process?

A nurse is talking with a client diagnosed with schizophrenia. Suddenly the client states, "I'm frightened. Do you hear that? The voices are telling me to do terrible things." Which of the following responses by the nurse is appropriate?

A nurse is assessing a client diagnosed with schizophrenia. Which of the following behaviors should the nurse document to be associated with schizophrenia?

A client has made the decision to leave her alcoholic husband and reports feeling very depressed. Which of the following is a non-therapeutic statement by the nurse that demonstrates sympathy?

During a family group therapy session, the nurse overhears the client telling her daughter, "You need to do better in school so I can love you as much as I love your brother." According to Warren, this statement discourages the development of positive self-esteem by hindering which parenting focus?

A nurse is caring for a child who has autism spectrum disorder. Which of the following findings should the nurse expect? (Select all that apply.)

A nurse is assessing a client who is withdrawing from alcohol. Which of the following findings should the nurse expect? (Select all that apply).