Author Question: A patient with the diagnosis of schizophrenia, disorganized type, approaches the nurse and says, ... (Read 51 times)

berenicecastro · **on:** Jul 19, 2018

A patient with the diagnosis of schizophrenia, disorganized type, approaches the nurse and says, It's beat, it's eat. No room for doom.. The nurse can correctly assess this verbalization as:

a. neologisms.
b. clanging.
c. ideas of reference.
d. associative looseness.

Question 2

A group has two more sessions before it ends. One member who previously has been vocal and has shown much progress has grown silent. What explanation most likely underlies his current silence?

a. He has said what is on his mind and now has nothing more to offer.
b. He wants to give quieter members a chance to talk in the time remaining.
c. Quiet members are dominating now in order to talk more before group ends.
d. He is having trouble dealing with his feelings about the group's ending.

Beatricemm · **Reply #1 on:** Jul 19, 2018

Answer to Question 1

B
Clanging, or clang associations, involves choosing words based on their sounds rather than their meanings and usually involves alliteration or rhyming. Neologisms are newly coined words. Looseness of association refers to thoughts that are poorly connected to each other, or that do not seem to present in logical order. Ideas of reference involve interpreting neutral events as somehow having specific meaning or relationship to the patient.

Answer to Question 2

D
A chief task during the termination phase of a group is to take what has been learned in group and transition to life without the group. The end of a group can be a significant loss for members, who may experience loss and grief and respond with sadness or anger. It is unlikely he would have nothing to say; at the very least, he could be responding to the comments of others even if not focusing on his own issues. He may wish to give quieter members a chance to talk, but again, this would not require or explain his complete silence. Some members, faced with only two remaining sessions, may be becoming more dominant under this pressure of time, but here too this is unlikely to lead a previously active participant to fall completely silent.