A nurse asks an assigned client diagnosed with a tic disorder, "How are you doing today?" The client responds with "doing today, doing today, doing today." Which speech pattern disturbance is this an example of?

Choice A reason: Stereotypic movement disorder involves repetitive, nonfunctional motor behaviors such as hand flapping, rocking, or head banging. It does not describe speech repetition, so this option is incorrect. Choice B reason: Reactive attachment disorder is a psychosocial condition characterized by disturbed social interactions due to neglect or inconsistent caregiving. It does not involve speech repetition patterns, making this option irrelevant to the scenario. Choice C reason: Echolalia is the repetition of words or phrases spoken by others or oneself. In this case, the client repeats the phrase "doing today" multiple times, which is a classic example of echolalia. This speech disturbance is often associated with neurodevelopmental disorders, tic disorders, and sometimes schizophrenia. Choice D reason: Selective mutism is an anxiety-related condition where a person consistently fails to speak in specific social situations despite having the ability to speak. The client in this scenario is speaking, but repetitively, so this option is not correct.