A nurse in a mental health unit asks a client who has schizophrenia, "How are you?" Which of the following responses should the nurse identify as the speech alteration of echolalia?

"I am lovistrated."

"Super, trooper, and duper."

"How are you?"

"Pink spots in Africa."

Answer and Explanation

The Correct Answer is C

Echolalia is the repetition of words or phrases spoken by others. In this case, the client is repeating the nurse's question, "How are you?" This is an example of echolalia.

a) "I am lovistrated" is an example of neologism, which is the creation of new words.

b) "Super, trooper, and duper" is an example of clang association, which is the use of words that sound alike but have no logical connection.

d) "Pink spots in Africa" is an example of a thought disorder, which is a disruption in the organization and expression of thoughts.

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Correct Answer is ["A","B","E"]

No explanation

A. Allow the infant to have soft foods. B. Maintain elbow restraints on the infant. C. Instruct the parents to feed the infant with a spoon. D. Tell the parents to avoid brushing the infant's teeth for two weeks.

Correct Answer is B

Explanation

The nurse should include maintaining elbow restraints on the infant in the plan of care following cleft palate repair. This helps to prevent the infant from touching their surgical site and disrupting the healing process.

a) Allowing the infant to have soft foods may be appropriate, but it is not the highest priority. The infant's diet should be determined by the provider and based on the infant's individual needs.

c) Instructing the parents to feed the infant with a spoon may be appropriate, but it is not the highest priority. The infant's feeding method should be determined by the provider and based on the infant's individual needs.

d) Telling the parents to avoid brushing the infant's teeth for two weeks may be appropriate, but it is not the highest priority. The infant's oral care should be determined by the provider and based on the infant's individual needs.

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A nurse in a mental health unit asks a client who has schizophrenia, "How are you?" Which of the following responses should the nurse identify as the speech alteration of echolalia?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is preparing a client's insulin regimen. Which of the following insulins can be mixed? (Select all that apply.)

Correct Answer is ["A","B","E"]

A nurse is contributing to the plan of care for a 12-month-old infant following cleft palate repair. Which of the following actions should the nurse include?

Correct Answer is B

Explanation

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