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91Ó°ÊÓ

A client with schizophrenia says "cat tree swim house sick jump pretty" when the nurse asks how he is feeling this morning. Which would be a correct label for the nurse to use when documenting this communication? A. word salad B. clang association C. neologism D. verbigeration The answer is \(\mathrm{A}\). Word salad refers to the meaningless connection of words and phrases. Clang association refers to repeating words and phrases which sound alike but are otherwise unconnected. A neologism is a new word coined by the client and with meaning only to the client. Verbigeration is the purposeless repetition of words or phrases.

Short Answer

Expert verified
A. Word Salad

Step by step solution

01

Understand the Options

Carefully review each label provided in the options to understand its meaning:A. Word Salad: A jumble of words and phrases without logical connection.B. Clang Association: Use of words that rhyme or sound similar without logical connection.C. Neologism: Creation of new words with meaning known only to the creator.D. Verbigeration: Repeating words or phrases meaninglessly.
02

Analyze the Client's Response

Examine the string of words provided by the client: 'cat tree swim house sick jump pretty.' Notice that the words are unrelated and appear to be a random collection without any logical sequence, structure, or connection.
03

Match the Correct Label

Determine which label best describes the client's response. Since the words provided lack logical connections and seem randomly put together, it matches the description of 'Word Salad.'
04

Conclusion

Document the communication correctly using the label 'Word Salad,' as it precisely describes the meaningless connection of words shared by the client.

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Key Concepts

These are the key concepts you need to understand to accurately answer the question.

Word Salad
When people with schizophrenia experience severe disturbances in their ability to communicate, their speech can become jumbled. Imagine words thrown together without any logical order or meaning. This is known as 'word salad'. It feels like the person picked random words, mixed them up, and spat them out in one go. There is no connection or flow. It's confusing for both the speaker and the listener.
For example, if someone answered a question with 'sun boat jump hero dance', you'd be dealing with word salad.
This phenomenon can be challenging to understand and even harder to communicate with someone experiencing it. But remember, it's a symptom of their mental health condition, not something they can easily control.
Clang Association
Clang association relates to speech where the words are connected by their sound rather than their meaning. It's like playing a rhyming game, but with no real context.
For instance, if someone said 'the cat sat on the hat with a bat', they're using rhyming words, but the sentence doesn't make much sense. In schizophrenia, this can be even more random and disconnected.
  • Words rhyme but don't make sense together
  • There is no meaningful connection
  • Difficult for listeners to interpret the message
It can be confusing and frustrating to converse with someone using clang associations, as it's hard to follow the train of thought or understand the intended message.
Neologism
Neologism occurs when someone invents new words. These aren't just any new words; they are words that only have meaning to the person who created them.
So, if someone with schizophrenia says 'flibergloob', it's a neologism. To them, it might represent something very specific, but for anyone else, it sounds like gibberish.
  • Newly coined words
  • Only the creator understands the meaning
  • Others find it nonsensical
This makes communication extremely challenging, as deciphering the new word's meaning isn't easy without the creator's explanation. Understanding this symptom can help in better interacting with and supporting affected individuals.
Verbigeration
Verbigeration is another complex symptom of schizophrenia involving repeated words or phrases. The repetition can seem meaningless and without any apparent purpose.
Imagine someone saying 'the dog is blue, the dog is blue, the dog is blue' over and over again. They lack context or a clear reason for this repetition.
  • Repetition of words or phrases
  • Seems purposeless to listeners
  • Can be unsettling and confusing
Though it may seem purposeless, verbigeration is an expression of the person's mental state. Patient and compassionate listening can help provide better care and support for those experiencing this symptom.

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Most popular questions from this chapter

Which of the following would the nurse identify as normative signs of aging, as opposed to pathologic signs? A. Increase in diastolic blood pressure B. Decrease in glomerular filtration rate C. Reduced lens elasticity D. Reduced vital capacity E. Dulled sense of taste F. Pressure ulcers

When doing an intake assessment on the older adult, which factor should the nurse consider? The older adult A. responds with increased emotion to questions related to family history. B. often has diminished auditory acuity and may impede communication. C. is uncomfortable with the physical assessment because of multiple physical changes. D. has an increased response to pain requiring extreme caution with the physical assessment.

An industrial nurse responds to an emergency in the plant where a worker is burned. Which is the correct sequence of nursing actions? A. Eliminate the source of the burn, ensure airway patency, observe for and treat associated injuries, treat burn shock. B. Eliminate the source of the burn, ensue airway patency, cool the burn wound, apply topical antibiotic cream. C. Ensure airway patency, insert a nasogastric tube, insert a bladder catheter, stare IV fluid infusion. D. Treat burn shock, ensure airway patency, start IV antibiotics and put the client in reverse isolation.

Which is an appropriate nursing intervention for a client diagnosed with schizophrenia? A. Maintain a slightly higher level of environmental stimuli than usual. B. Prevent the client from lapsing into periods of silence of longer than 5 minutes. C. Tell the client if you do not understand what is being communicated. D. Be warm with a show of positive emotion when interacting with the client.

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