If a client uses phrases like, "I like eggs, fried by Meg, served on a keg," what should the nurse document?

If a client uses phrases like, "I like eggs, fried by Meg, served on a keg," what should the nurse document?

• A. "Client exhibits echolalia."
• B. "Client demonstrates clang association and neologism speech patterns."
• C. "Client shows signs of disorganized thinking."
• D. "Client's speech is coherent and logical."

Answer: (B)

The correct documentation reflects that the client's speech displays characteristics known as clang associations and neologisms. Clang associations are a type of verbal behavior where individuals link words based on their sounds rather than their meanings, evident in the client's phrase where "eggs," "Meg," and "keg" are rhymed together. Neologism refers to the creation of new words or phrases that are often nonsensical to others, which can add to the disorganized nature of the speech. This observation is important because it signals a disruption in the thought process, common in various mental health conditions, particularly psychotic disorders. The presence of these speech patterns can offer valuable insights into the client's cognitive organization and potential underlying issues, allowing the nursing staff to tailor interventions effectively. Recognizing and documenting such specific speech patterns helps in guiding treatment and improving communication strategies with the client.

The correct documentation reflects that the client's speech displays characteristics known as clang associations and neologisms. Clang associations are a type of verbal behavior where individuals link words based on their sounds rather than their meanings, evident in the client's phrase where "eggs," "Meg," and "keg" are rhymed together. Neologism refers to the creation of new words or phrases that are often nonsensical to others, which can add to the disorganized nature of the speech.

This observation is important because it signals a disruption in the thought process, common in various mental health conditions, particularly psychotic disorders. The presence of these speech patterns can offer valuable insights into the client's cognitive organization and potential underlying issues, allowing the nursing staff to tailor interventions effectively. Recognizing and documenting such specific speech patterns helps in guiding treatment and improving communication strategies with the client.