IGNOU PB Bsc Entrance-2022
Mental Health Nursing
Easy
A man with mania says, "We can pan, scan, ran, plan," the nurse identifies this as:
Appeared in: IGNOU PB Bsc Entrance-2022
Explanation
- Clang association is a formal thought disorder where speech is governed by the sound of words, such as rhyming or puns, rather than logical connections.
- The patient's statement, "We can pan, scan, ran, plan," directly demonstrates this pattern, as the words are linked by their rhyming sounds.
- This type of speech is a characteristic symptom of the flight of ideas often seen in patients during a manic episode.
Why Other Options Were Wrong
- Option B: Echolalia is the unsolicited repetition of another person's words. The patient in the scenario is generating their own rhyming words, not repeating someone else.
- Option C: Word salad is a completely disorganized jumble of words with no apparent connection, grammatical or phonetic. The patient's speech, while illogical in meaning, has a clear phonetic (rhyming) connection.
- Option D: A neologism is a newly created word that is not part of the dictionary. All the words used by the patient ('pan', 'scan', 'ran', 'plan') are real, established English words.
Related Visual
Clinical Relevance
- Nursing practice connection: Use the key finding related to Recognition of formal thought disorders and speech patterns in psychiatric nursing to guide bedside assessment, documentation, and the next nursing action.
- Recognizing specific speech patterns like clang association is a crucial nursing assessment skill that helps in evaluating a patient's thought process and the severity of their mental state, particularly in mania.
- Accurate documentation of these speech patterns (e.g., 'Patient exhibiting clang associations, stating...') provides a clear, objective measure of the patient's condition for the entire healthcare team and for tracking treatment effectiveness.
- What if the patient was repeating the nurse's words instead? If the patient was echoing the nurse, the correct identification would be Echolalia, which can indicate different underlying issues, such as catatonia or developmental disorders, requiring a different approach to communication and care.
How to Approach the Question
- First, carefully analyze the specific example of speech provided in the question: "We can pan, scan, ran, plan."
- Identify the primary characteristic of this speech. Notice that all the key words rhyme.
- Next, review the definitions of the four options provided.
- Match the identified characteristic (rhyming) with the correct definition. Clang association is defined as speech linked by sound/rhyme.
- Eliminate the other options by confirming they do not fit the example. The patient is not repeating others (Echolalia), using a random jumble of words (Word Salad), or inventing new words (Neologism).
Concept Tested & Keywords
- Concept Tested: Recognition of formal thought disorders and speech patterns in psychiatric nursing.
- Stem keywords: mania, pan, scan, ran, plan, speech
- Lead-in keywords: identifies this as
- Clinical cues: Patient with mania: This diagnosis is a key cue, as clang associations are characteristic of manic episodes.
- Clinical cues: Speech pattern 'pan, scan, ran, plan': The rhyming nature of the words is the defining feature to be identified.
Question ID
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Reference Book
E6 Robert Boland, Marcia L. Verduin - Kaplan and Sadock's Comprehensive Text of Psychiatry-Wolters Kluwer Health (2024) (pp 1-16525 of 16525) pp. 3795-3797, 15410-15412
E6 Kaplan Sadock's Synopsis of Psychiatry-2022 (pp 1-3768 of 3768) p. 3560-3562
Practise the full IGNOU PB Bsc Entrance-2022
Attempt every question from this paper in a timed mock, then review the full solution for each one.
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