During the admission assessment, the nurse asks the client, "How are you feeling?" The client responds, "I feel, I kneel, do you steal?" The nurse recognizes this response as which of the following?
A) Clang association
B) Echolalia
C) Flight of ideas
D) Neologisms
A
Feedback: Responses based on rhyming or alliteration, rather than content, are called clang associations. Echolalia is repetition or imitation of what someone else says. Flight of ideas is excessive amount and rate of speech composed of fragmented or unrelated ideas. Neologisms are invented words that have meaning only for the client.
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A 17-year-old primigravida is at 37 weeks gestation. During her pregnancy, she has not monitored her blood sugar. She is discussing her delivery options for the infant. The provider suspects the infant has macrosomia
Which of the following should the nurse anticipate? A) Schedule induction of labor today. B) Allow her to continue without plans for delivery. C) Schedule cesarean delivery at 39 weeks. D) Prepare for amniocentesis and assessment of fetal lung maturity.
A home health nurse is concerned about a recently widowed client who is depressed. Which statement about suicide among the elderly population is most accurate?
A) Elderly people use less lethal means to commit suicide. B) The percentage of suicides completed by elderly individuals is greater than the percentage of elderly in the population. C) Elderly people attempt suicide twice as often as they complete it. D) It is normal for elderly individuals to express a desire to die because they have come to terms with their mortality.
Nurses do all of the following. Which is a unique function of community/public health nurses?
A. Care for the sick and dying B. Committed to help clients C. Focus on the client as a member of the community D. Give holistic care to clients in the presence of their families