HESI/Saunders Online Review for the NCLEX-RN Examination (2 Year), 3rd
Edition Module 4 Exam
1. Module 4 Exam
1. 1.ID: 21083973130
A client with schizophrenia says, “I’m away for the day ... but don’t think we
shou
...
HESI/Saunders Online Review for the NCLEX-RN Examination (2 Year), 3rd
Edition Module 4 Exam
1. Module 4 Exam
1. 1.ID: 21083973130
A client with schizophrenia says, “I’m away for the day ... but don’t think we
should play or do we have feet of clay?” Which alteration in the client’s speech
does the nurse document?
Neologism
Word salad
Clang association Correct
Associative looseness
Rationale: Clang association is the meaningless rhyming of words in which the
rhyming is more important than the context of the words. A neologism is a madeup word that has meaning only to the client. Word salad is the term for a mixture
of meaningless phrases, either to the client or to the listener. Associative
looseness is a term used to describe schizophrenic speech in which connections
and threads are interrupted or missing.
Test-Taking Strategy: Knowledge of the speech patterns exhibited by the client
with schizophrenia is needed to answer this question. Focus on the subject in the
question, the meaningless rhyming of words.
Review: these speech patterns .
Reference: Varcarolis, E., & Halter, M. (2009). Essentials of psychiatric mental
health nursing: A communication approach to evidence-based care (p. 281). St.
Louis: Saunders.
Level of Cognitive Ability: Applying
Client Needs: Psychosocial Integrity
Integrated Process: Communication and Documentation
Content Area: Mental Health
Giddens Concepts: Communication, Psychosis
HESI Concepts: Cognition
Awarded 100.0 points out of 100.0 possible points.
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