Module 4 Exam
Due Jul 17 at 11:59pm Points 100 Questions 100
Available until Jul 17 at 11:59pm Time Limit None
Attempt History
Attempt Time Score
LATEST Attempt 1 76 minutes 90 out of 100
Score for this quiz: 90 out of 100
Submitted Jul 14 at 6:57pm
This attempt took 76 minutes.
Question 1 pts
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
Correct! Clang association
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 made-up 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
Question 2 pts
A client with schizophrenia and his parents are meeting with the nurse.
One of the young man’s parents says to the nurse, “We were stunned
when we learned that our son had schizophrenia. He was no different
than from his older brother when they were growing up. Now he’s had
another relapse, and we can’t understand why he stopped his
medication.” Which response by the nurse is appropriate?
Telling the parents, “Medication noncompliance is the most frequent
reason that people with this diagnosis relapse.”
, Telling the parents, “Well, it’s his decision to take his medicine, but it’s
yours to have him live with you if he stops the medication.”
Correct!
Asking the client, “How can we help you to take your medicine or to tell us
when you’re having problems so that your medication can be adjusted?”
Saying to the parents, “Your concerns are appropriate, but I wonder
whether your son was having trouble telling someone that he had concerns
about his medication.”
, Rationale: The therapeutic response is the one in which the nurse
models speaking directly to the client. This facilitates further
assessment of the situation and helps elicit the causes of and
motivations for the client’s behavior for both the nurse and the
family. In the correct option, the nurse also seeks clarification of
the degree of openness and mutuality felt by the client and his
family toward each other. The nurse provides information to the
family when stating that noncompliance is the most frequent
reason for relapse in people with this diagnosis. However, the
statement is nontherapeutic at this time because it does not
facilitate the expression of feelings. The nurse uses a superego
style of communication when stating, “Well, it’s his decision to take
his medicine, but it’s yours to have him live with you if he stops the
medication.” The content of this statement may be true, but it is
nontherapeutic in that it carries a threatening message and may
prevent the family from trusting the nurse. By stating, “Your
concerns are appropriate, but I wonder whether your son was
having trouble telling someone that he had concerns about his
medication,” the nurse gives approval and prematurely analyzes
the client’s motivation without sufficient assessment.
Test-Taking Strategy: Use your knowledge of therapeutic
communication techniques and remember to focus on the
client’s feelings. Also note that the correct option is the only option
in which the nurse directly addresses the client.
Review: therapeutic communication techniques .
Reference: Stuart, G. (2009). Principles & practice of psychiatric
nursing (9th ed., pp. 27-31). St. Louis: Mosby.
Varcarolis, E., & Halter, M. (2009). Essentials of psychiatric mental
health nursing: A communication approach to evidence-based care
(p. 297). St. Louis: Saunders.
Level of Cognitive Ability: Applying
Client Needs: Psychosocial Integrity
Integrated Process: Communication and Documentation
Content Area: Mental Health
Giddens Concepts: Adherence, Psychosis
HESI Concepts: Adherence, Cognition
Due Jul 17 at 11:59pm Points 100 Questions 100
Available until Jul 17 at 11:59pm Time Limit None
Attempt History
Attempt Time Score
LATEST Attempt 1 76 minutes 90 out of 100
Score for this quiz: 90 out of 100
Submitted Jul 14 at 6:57pm
This attempt took 76 minutes.
Question 1 pts
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
Correct! Clang association
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 made-up 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
Question 2 pts
A client with schizophrenia and his parents are meeting with the nurse.
One of the young man’s parents says to the nurse, “We were stunned
when we learned that our son had schizophrenia. He was no different
than from his older brother when they were growing up. Now he’s had
another relapse, and we can’t understand why he stopped his
medication.” Which response by the nurse is appropriate?
Telling the parents, “Medication noncompliance is the most frequent
reason that people with this diagnosis relapse.”
, Telling the parents, “Well, it’s his decision to take his medicine, but it’s
yours to have him live with you if he stops the medication.”
Correct!
Asking the client, “How can we help you to take your medicine or to tell us
when you’re having problems so that your medication can be adjusted?”
Saying to the parents, “Your concerns are appropriate, but I wonder
whether your son was having trouble telling someone that he had concerns
about his medication.”
, Rationale: The therapeutic response is the one in which the nurse
models speaking directly to the client. This facilitates further
assessment of the situation and helps elicit the causes of and
motivations for the client’s behavior for both the nurse and the
family. In the correct option, the nurse also seeks clarification of
the degree of openness and mutuality felt by the client and his
family toward each other. The nurse provides information to the
family when stating that noncompliance is the most frequent
reason for relapse in people with this diagnosis. However, the
statement is nontherapeutic at this time because it does not
facilitate the expression of feelings. The nurse uses a superego
style of communication when stating, “Well, it’s his decision to take
his medicine, but it’s yours to have him live with you if he stops the
medication.” The content of this statement may be true, but it is
nontherapeutic in that it carries a threatening message and may
prevent the family from trusting the nurse. By stating, “Your
concerns are appropriate, but I wonder whether your son was
having trouble telling someone that he had concerns about his
medication,” the nurse gives approval and prematurely analyzes
the client’s motivation without sufficient assessment.
Test-Taking Strategy: Use your knowledge of therapeutic
communication techniques and remember to focus on the
client’s feelings. Also note that the correct option is the only option
in which the nurse directly addresses the client.
Review: therapeutic communication techniques .
Reference: Stuart, G. (2009). Principles & practice of psychiatric
nursing (9th ed., pp. 27-31). St. Louis: Mosby.
Varcarolis, E., & Halter, M. (2009). Essentials of psychiatric mental
health nursing: A communication approach to evidence-based care
(p. 297). St. Louis: Saunders.
Level of Cognitive Ability: Applying
Client Needs: Psychosocial Integrity
Integrated Process: Communication and Documentation
Content Area: Mental Health
Giddens Concepts: Adherence, Psychosis
HESI Concepts: Adherence, Cognition
