The nurse has entered a hospital patient's room and asked him if he plans to attend the morning's scheduled group life-skills session. Which of the following responses should signal the presence of thought blocking to the nurse?
A) "Warning, warning, watch your back."
B) "I might. I'll give it some…."
C) "Well, that's certainly the end of that."
D) The client makes eye contact with the nurse but does not respond verbally.
Ans: B
Blocking refers to a sudden stoppage in the spontaneous flow or stream of thinking or speaking for no apparent external or environmental reason. Clanging involves perceived similarities in meaning between words of similar sound ("morning"; "warning"). Mutism is the absence of a verbal response.
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