A patient repeatedly seems to have difficulty coming up with a ...

[jazziefee]

A patient repeatedly seems to have difficulty coming up with a word. He says, I was on my way to work, and when I got there, the thing that you step into that goes up in the air was so full that I decided to take the stairs.
 
  The nurse will note on his chart that he is using or experiencing:
  a.
  Blocking
  b.
  Neologism
  c.
  Circumlocution
  d.
  Circumstantiality

Question 2

A patient has had a cerebrovascular accident (stroke). He is trying very hard to communicate. He seems driven to speak and says, I buy obie get spirding and take my train. What is the best description of this patient's problem?
 
  a. Global aphasia
  b. Broca's aphasia
  c. Echolalia
  d. Wernicke's aphasia

[mtmmmmmk]

Answer to Question 1

ANS: C
Circumlocution is a roundabout expression, substituting a phrase when one cannot think of the name of the object.

Answer to Question 2

ANS: D
This type of communication illustrates Wernicke's or receptive aphasia. The person can hear sounds and words but cannot relate them to previous experiences. Speech is fluent, effortless, and well articulated, but it has many paraphasias (word substitutions that are malformed or wrong) and neologisms (made-up words) and often lacks substantive words. Speech can be totally incomprehensible. Often, a great urge to speak is present. Repetition, reading, and writing also are impaired. Echolalia is an imitation or the repetition of another person's words or phrases. (See Table 5-4 for the definitions of the other disorders.)

[jazziefee]

Excellent

[nyrave]

TYSM