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 B

No explanation

A. Draws up regular insulin before NPH when demonstrating injection technique B. Says that he will see a primary care provider to treat corns on his feet C. States that he will treat hypoglycemic reactions with 15 g of carbohydrates D. Lists sweating, shaking, and palpitations as symptoms of hyperglycemia

Correct Answer is D

Explanation

The nurse should recognize that the client needs a referral for diabetic education when the client lists sweating, shaking, and palpitations as symptoms of hyperglycemia. These symptoms are actually associated with hypoglycemia, not hyperglycemia. Hyperglycemia is characterized by symptoms such as increased thirst, frequent urination, and fatigue.

Option a is incorrect because drawing up regular insulin before NPH when demonstrating injection technique is the correct procedure.

Option b is incorrect because seeing a primary care provider to treat corns on the feet is an appropriate action for a client with diabetes.

Option c is incorrect because treating hypoglycemic reactions with 15 g of carbohydrates is the recommended treatment.

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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 assisting with developing a discharge plan for a client who has a new diagnosis of diabetes mellitus. The client is independent and lives alone. Which of the following interventions should the nurse plan to include?

Correct Answer is B

A nurse is caring for a client who is newly diagnosed with type 1 diabetes mellitus. The nurse should recognize that the client needs a referral for diabetic education when the client does which of the following?

Correct Answer is D

Explanation

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