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:

While personal responsibility is important in recovery, the statement "I am responsible for my alcoholism" does not align with the fundamental concepts of AA. AA emphasizes that while individuals are responsible for their recovery and making amends, alcoholism is viewed as a disease over which one has no control.

Choice B Reason:

The statement "I am powerless against my addiction to alcohol" reflects the first step of AA's Twelve Steps, which is admitting powerlessness over alcohol and recognizing that life has become unmanageable. This is a core concept of AA, acknowledging that recovery begins with this admission.

Choice C Reason:

Suggesting that a counselor is responsible for one's recovery does not align with AA's principles. AA advocates that recovery is a personal journey and that the support from the group and a higher power, as understood by the individual, is what aids in recovery.

Choice D Reason:

While identifying triggers for alcohol use is a part of many treatment programs, the statement "I need to identify things that cause me to be an alcoholic" does not capture the essence of AA's approach. AA focuses on the acceptance of alcoholism as a disease and working through the Twelve Steps for recovery.

A. Bizarre behavior B. Waxy flexibility C. Somatic delusions D. Illogicality

Correct Answer is B

Explanation

Negative symptoms of schizophrenia are those that reflect a decrease or loss of normal functions. In the context of schizophrenia, waxy flexibility is a negative symptom where the patient exhibits decreased response to stimuli and a tendency to remain in an immobile, fixed posture. Patients with waxy flexibility may maintain whatever position they are placed in, which can be sustained for long periods.

Choice A: Bizarre behavior

Bizarre behavior is considered a positive symptom of schizophrenia. It includes unusual or odd actions that are not typically seen in healthy individuals. This can manifest as inappropriate or unpredictable behavior and is an excess or distortion of normal functions.

Choice B: Waxy flexibility

This is the correct answer. Waxy flexibility is a negative symptom of schizophrenia. It is characterized by a decrease in voluntary movement and an increase in passive obedience in maintaining a posture or position. It is not a productive symptom but rather a lack of normal behavior.

Choice C: Somatic delusions

Somatic delusions are a type of delusion that is classified as a positive symptom of schizophrenia. These delusions involve false beliefs about the body, such as thinking one has a serious disease or infestation when no medical evidence supports this.

Choice D: Illogicality

Illogicality is also a positive symptom of schizophrenia. It refers to a pattern of thinking that is disorganized and lacks the logical flow of thoughts. This can result in speech and behaviors that are difficult to understand and follow.

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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

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