A client on an acute mental health unit states to a nurse. "Tie a bow. Row the boat. Now I know. Whoa! I see you, yo." The nurse should document that the client is exhibiting which of the following speech alterations?
Echolalia
Word salad
Clang association
Neologisms
The Correct Answer is C
A. Echolalia refers to the repetition of words spoken by another person.
B. Word salad is a mix of random, unrelated words with no logical connection.
C. This is the correct answer. Clang association involves rhyming words that are spoken together without meaningful connections, as seen in the client's statement.
D. Neologisms are made-up words that have meaning only to the individual.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. Echolalia refers to the repetition of words spoken by another person.
B. Word salad is a mix of random, unrelated words with no logical connection.
C. This is the correct answer. Clang association involves rhyming words that are spoken together without meaningful connections, as seen in the client's statement.
D. Neologisms are made-up words that have meaning only to the individual.
Correct Answer is C
Explanation
A. Wire cutters – These are used in clients with wired jaws, not for chest tube management.
B. Tracheostomy tray – This is necessary for airway emergencies but is not specific to chest tube management.
C. Padded clamp – This is the correct answer because a padded clamp is used to assess for air leaks, check chest tube patency, or temporarily clamp the tube if needed during troubleshooting or before removal.
D. Sand bag – A sandbag is not necessary for a client with a chest tube; it is more commonly used for stabilizing orthopedic injuries.
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