HESI Saunders Online Review for the NCLEX-RN Examination 2 Year, 3rd Edition Module 4 Exam.

HESI/Saunders Online Review for the NCLEX-RN Examination (2 Year), 3rd Edition Module 4 Exam 1. Module 4 Exam 1. 1.ID: 30 A client with schizophrenia says, “I’m away for the day ... but don’t think we should play or do we have feet of clay?” Which alteration in the client’s speech does the nurse document?  Neologism  Word salad  Clang association Correct  Associative looseness Rationale: Clang association is the meaningless rhyming of words in which the rhyming is more important than the context of the words. A neologism is a madeup word that has meaning only to the client. Word salad is the term for a mixture of meaningless phrases, either to the client or to the listener. Associative looseness is a term used to describe schizophrenic speech in which connections and threads are interrupted or missing. Test-Taking Strategy: Knowledge of the speech patterns exhibited by the client with schizophrenia is needed to answer this question. Focus on the subject in the question, the meaningless rhyming of words. Review: these speech patterns . Reference: Varcarolis, E., & Halter, M. (2009). Essentials of psychiatric mental health nursing: A communication approach to evidence-based care (p. 281). St. Louis: Saunders. Level of Cognitive Ability: Applying Client Needs: Psychosocial Integrity Integrated Process: Communication and Documentation Content Area: Mental Health Giddens Concepts: Communication, Psychosis HESI Concepts: Cognition Awarded 100.0 points out of 100.0 possible points