A patient with schizophrenia begins to talk about creatures ...

[KWilfred]

A patient with schizophrenia begins to talk about creatures called volmers hiding in the warehouse where he works and undoing his work each night. The term volmers most likely represents:
 
  a. a neologism.
  b. clanging.
  c. anhedonia.
  d. alogia.

Question 2

The nurse is assisting a victim of spousal abuse to create a plan for escape if it becomes necessary. What components should the plan include? Select all that apply.
 
  a. A code word to signal children that it is time to leave
  b. Phone numbers for the nearest shelter and crisis hotline
  c. Telling the spouse that she has a plan and will leave
  d. Collecting birth certificates and other essential documents
  e. Bringing a cell phone or change to make phone calls
  f. Obtaining a weapon to use as needed for self-defense

[Jsherida]

Answer to Question 1

A
A neologism is a newly coined word having special meaning to the patient. Volmer is not a known word for an existing creature and given its context, most likely represents a new word created by the patient. Clanging (or clang associations) involves choosing words based on their sounds instead of their meanings, and is usually indicated by using words that somehow sound alike. Anhedonia is an inability to derive pleasure from pleasurable stimuli or activities, and alogia is a poverty or absence of speech.

Answer to Question 2

A, B, D, E
The plan should list all steps to be taken in an impending crisis and should involve surreptitiously collecting all materials she will need in one hidden location that will enable her to leave quickly and without triggering suspicion. A code word to alert children without alerting the spouse is also needed. Telling the spouse of her plans will likely evoke further violence or at the very least enable him to destroy her preparations. Weapons present the greater danger of serious injury or loss of life for both the victims and the abuser.