Author Question: A 16-year-old client is in the lounge with other clients on the inpatient unit when he suddenly ... (Read 29 times)

s.tung · **on:** Jul 19, 2018

A 16-year-old client is in the lounge with other clients on the inpatient unit when he suddenly becomes agitated. Which action by the nurse would be most appropriate in this situation?

a. Turn up the volume on the television to distract the client.
b. Bring him to sit at the nurses' station while the staff is doing shift report.
c. Keep him in the lounge and attempt to converse with him.
d. Accompany him to a room where soft music is playing.

Question 2

The client is describing her trip to town. She tells the nurse, I cold town yellow water girl outside below ground. This speech disturbance is called:

a. Neologism
b. Word salad
c. Flight of ideas
d. Verbigeration

Gabe · **Reply #1 on:** Jul 19, 2018

Answer to Question 1

D
High noise levels can lead to distorted perceptions, altered thinking, and sensory overload. Calm music, the sound of ocean waves, or a light rain can produce relaxation. When noise levels become too intense, clients tend to become distracted and agitated. Turning up the volume on the television, bringing him to a crowded nurses station, and keeping him in the lounge do not decrease noise levels and may increase his agitation.

Answer to Question 2

B
Word salad is verbal communication in which a series of unrelated words with no connection is used. Neologism is words or expressions invented by the individual. Flight of ideas refers to rapid flow of speech along with a rapid change of topics; and verbigeration is purposeless repeating of phrases.