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.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Calcium – Spironolactone does not significantly impact calcium levels, so avoiding calcium supplements is unnecessary.
B. Potassium – This is the correct answer. Spironolactone is a potassium-sparing diuretic, which can lead to hyperkalemia. Clients should avoid potassium supplements and potassium-rich foods to prevent dangerous elevations in serum potassium levels.
C. Iron – Spironolactone does not have a direct effect on iron metabolism, so iron supplementation is not contraindicated.
D. Magnesium – Although spironolactone does not have a strong impact on magnesium levels, excessive magnesium intake is not a primary concern with this medication.
Correct Answer is D
Explanation
A. This statement dismisses the client's feelings.
B. Offering false reassurance is not therapeutic.
C. Changing the subject does not address the client's distress.
D. This is the correct answer. Acknowledging the client's feelings is a therapeutic response that encourages further discussion.
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