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    Ati Mental health assessment proctored exam

    A nurse in an acute care facility is assessing a client who has schizophrenia. The client states, "Walk tall broom short dog bell." The nurse should document the client's speech as which of the following speech patterns?

    Explanation & Rationale

    Choice A reason: Flight of ideas involves rapid shifts between loosely connected topics, often seen in mania, but the speech retains some logical structure. Choice B reason: Word salad refers to incoherent and disorganized speech composed of random words and phrases, as seen in the client's statement. Choice C reason: Neologisms are newly invented words that have meaning only to the speaker. The client did not use invented words, but rather a nonsensical combination of existing ones. Choice D reason: Clang associations involve speech driven by sound similarities or rhyming, which is not evident in the client’s statement.

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