Which of the following data support a nursing diagnosis of impaired verbal communication?
A) As evidenced by ambivalence, delusional thinking, and avolition
B) As evidenced by the presence of neologism, echolalia, and clanging
C) As evidenced by the presence of neologism, delusions, and anergia
D) As evidenced by rapid pacing and running
Ans: B
Although the client may be indecisive, have false beliefs, and lack motivation, these do not support a diagnosis of impaired verbal communication. Invented words, repetition of words heard, and rhyming do get in the way of the ability to use or understand language in the human interaction. Fixed false beliefs and an absence of energy do not support a diagnosis of impaired verbal communication, nor do pacing and running.
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