A newly hospitalized patient experiencing psychosis says. "Red chair out town board." Which term should the nurse use to document this finding?

Word salad

Echolalia

Neologism

Anhedonia

Answer and Explanation

The Correct Answer is A

A. Word salad refers to a jumble of incoherent words and phrases without logical connection, as seen in the patient’s statement.
B. Echolalia is the repetition of another person’s spoken words, not unrelated word combinations.
C. Neologism is the invention of new, made-up words, not a random string of real words.
D. Anhedonia is the inability to experience pleasure, not a speech disturbance.

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Correct Answer is C

Explanation

A. Irritability involves anger, frustration, or easily annoyed behavior, which is not reflected in the patient’s joyful and playful actions.

B. Suspicious mood would include mistrust or paranoia, which is not evident in this patient’s behavior.

C. Euphoric mood is characterized by exaggerated feelings of well-being, elation, or joy, often with energetic and flamboyant behavior, as demonstrated by twirling, shadow boxing, and offering scarves as gifts.

D. Confidence refers to self-assurance and poise without the intense elation or overexcitement seen in euphoria.

A. Silence can provide meaningful moments for reflection. B. Patients withdraw if silences are prolonged. C. Silence helps patients know that what they said was understood. D. A nurse is responsible for breaking silences.

Correct Answer is A

Explanation

A. Using silence allows the patient time to process thoughts and feelings, encourages introspection, and can facilitate deeper communication during interviews.

B. While prolonged silence can sometimes make patients uncomfortable, its intentional and therapeutic use is beneficial when appropriately timed.

C. Reflecting or paraphrasing communicates understanding; silence alone does not confirm comprehension.

D. In therapeutic communication, the nurse does not have to immediately fill silence; allowing moments of quiet can be purposeful.

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A newly hospitalized patient experiencing psychosis says. "Red chair out town board." Which term should the nurse use to document this finding?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is C

Explanation

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Correct Answer is A

Explanation

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