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.

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Correct Answer is B

Explanation

Choice A reason:

Tachycardia, or rapid heart rate, is not commonly associated with anorexia nervosa. Instead, individuals with anorexia nervosa may experience bradycardia, or a slower-than-normal heart rate, due to decreased metabolic rate and changes in cardiac function.

Choice B reason:

Constipation is a common finding in individuals with anorexia nervosa. Due to malnutrition and decreased food intake, the gastrointestinal motility slows down, leading to constipation. Additionally, dehydration from inadequate fluid intake can exacerbate this condition.

Choice C reason:

Hyperkalemia, or high potassium levels in the blood, is not a typical finding in anorexia nervosa. More commonly, individuals with this eating disorder may experience hypokalemia, or low potassium levels, due to malnutrition and potential purging behaviors.

Choice D reason:

Metrorrhagia, or irregular uterine bleeding, is not a specific finding related to anorexia nervosa. However, individuals with this condition may experience amenorrhea, or the absence of menstruation, due to hormonal imbalances and low body weight.

A. Ritualistic behavior B. Short attention span C. Spinning a toy repetitively D. Consistent limit testing E. Delayed language development

Correct Answer is ["A"]

Explanation

Choice A Reason:

Ritualistic behavior is a common characteristic of autism spectrum disorder (ASD). Children with ASD may engage in routines or rituals and may become distressed if these routines are disrupted. This behavior provides a sense of order and predictability for them.

Choice B Reason:

A short attention span is often observed in children with ASD. They may have difficulty focusing on tasks or activities that do not interest them, which can affect their learning and social interactions.

Choice C Reason:

Repetitive behaviors, such as spinning a toy, are hallmark signs of ASD. These behaviors are often referred to as "stimming" and can serve various functions, including self-regulation and sensory processing.

Choice D Reason:

Consistent limit testing is not typically associated with ASD. While children with ASD may have difficulty understanding social norms and boundaries, limit testing implies a behavioral response that is not characteristic of the core symptoms of ASD.

Choice E Reason:

Delayed language development is a common finding in children with ASD. They may have limited speech or not speak at all, and those who do talk often have difficulty with the use of language in a social context.

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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

Which of the following findings should a nurse expect when assessing an adolescent female client with anorexia nervosa?

Correct Answer is B

Explanation

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.)

Correct Answer is ["A"]

Explanation

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